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Organization

PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC

Active
Other names
East End Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA FUTRELL (EXECUTIVE DIRECTOR)
(757) 591-0643
Entity
Organization

Contact information

Practice address
1033 28TH ST, NEWPORT NEWS, VA 23607-4233
(757) 925-2160
(757) 925-2167
Mailing address
1033 28TH ST, 2ND FLOOR, NEWPORT NEWS, VA 23607-4233
(757) 591-0643
(757) 591-0682

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740458678
VA
Enumeration date
02/13/2008
Last updated
03/06/2009
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