Organization
PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Active
Other names
Virginia Beach Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FUTRELL (EXECUTIVE DIRECTOR)
(757) 591-0643
Entity
Organization
Contact information
Practice address
940 GENERAL BOOTH BLVD, SUITE A, VIRGINIA BEACH, VA 23451-4857
(757) 591-0643
(757) 928-3239
Mailing address
1033 28TH ST, NEWPORT NEWS, VA 23607-4233
(757) 591-0643
(757) 928-3239
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/05/2008
Last updated
03/30/2009
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