Organization
PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Active
Other names
Southeastern Virginia Health System at Western Tidewater Community Ser
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FUTRELL (CEO)
(757) 591-0643
Entity
Organization
Contact information
Practice address
5268 GODWIN BLVD, SUFFOLK, VA 23434-8114
(757) 255-7133
(757) 255-7142
Mailing address
1033 28TH ST, NEWPORT NEWS, VA 23607-4233
(757) 591-0643
(757) 228-1045
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/20/2015
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