PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC (NPI# 1124296058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124296058 |
| Entity Type | Organization |
| Organization Name | PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC |
| Other Organization Name | TOWN CENTER PHYSICIANS |
| Practice Address |
10980 Buckley Hall Road Bldg #5 Mathews VA 23109 |
| Mailing Address |
1033 28th St 2nd Floor Newport News VA 23607-4233 |
| Practice Telephone | 8047259191 |
| Practice Fax Number | 8047259119 |
| Mailing Telephone | 7575910643 |
| Mailing Fax Number | 7575910682 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | ANGELA FUTRELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7575910643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Town Center Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093367732 | Peninsula Institute for Community Health Inc | Clinic/Center | 7401 Warwick Blvd, Newport News, VA 23607-1515 | 2019-07-12 |
| 1538725668 | Peninsula Institute for Community Health Inc | Clinic/Center | 9294 Warwick Blvd, Newport News, VA 23607-1535 | 2019-05-14 |
| 1750749818 | Peninsula Institute for Community Health Inc | Clinic/Center | 1357 Armory Dr, Franklin, VA 23851-2419 | 2016-02-04 |
| 1275810152 | Peninsula Institute for Community Health Inc | Clinic/Center | 15425 Warwick Blvd # D, Newport News, VA 23608-1579 | 2011-11-07 |
| 1174656862 | Peninsula Institute for Community Health Inc | Clinic/Center | 15425h Warwick Blvd, Newport News, VA 23608 | 2007-03-13 |
| 1508999293 | Peninsula Institute for Community Health Inc | Clinic/Center | 4714 Marshall Avenue, Newport News, VA 23607 | 2007-03-13 |
| 1538292123 | Peninsula Institute for Community Health Inc | Clinic/Center | 157 North Main Street Suite A, Suffolk, VA 23434 | 2007-03-13 |
| 1023088077 | Peninsula Institute for Community Health Inc | Clinic/Center | 1033 28th St, 2nd Floor, Newport News, VA 23607-4233 | 2006-01-24 |
| 1043790124 | Peninsula Institute for Community Health Inc | Clinic/Center | 104 N Witchduck Rd, Virginia Beach, VA 23462-6506 | 2018-08-17 |
| 1720462294 | Peninsula Institute for Community Health Inc | Clinic/Center | 5268 Godwin Blvd, Suffolk, VA 23434-8114 | 2015-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC. | 1033 28th Street 2nd Floor, Newport News, Virginia 23607 |
| Street Address |
10980 BUCKLEY HALL ROAD BLDG #5 |
| City | MATHEWS |
| State | VA |
| Zip Code | 23109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920253 | Ervin Anthony | Emergency Medicine | 10980 Buckley Hall Road, Building #5, Mathews, VA 23109-2310 | 2005-05-23 |
| 1902943301 | Sabra M Bellovin | Family Medicine | 10980 Buckley Hall Road, Building 5, Mathews, VA 23109 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124500160 | Lynette R Glockner, Inc. | Pharmacy | 10858 Buckley Hall Road, Mathews, VA 23109 | 2018-09-06 |
| 1366940926 | Jessica Tracy Archinal | Psychologist | 387 Church Street, Mathews, VA 23109 | 2018-01-30 |
| 1114375904 | Emily May | Occupational Therapy Assistant | 1030 Pine Hall Road, Mathews County, VA 23109 | 2016-06-02 |
| 1265774012 | Ingrid Elizabeth Fincher | Nurse Practitioner | 10976 Buckley Hall Rd, Mathews, VA 23109 | 2013-03-20 |
| 1902135130 | 5 Star Oriental Medicine | Clinic/Center | 28 Church Street, Mathews, VA 23109 | 2009-12-17 |
| 1861597692 | Brad E Skelding | Social Worker | 40 Court Street, Mathews, VA 23109 | 2006-09-14 |
| 1255448379 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 603 Main St., Mathews, VA 23109 | 2006-08-24 |
| 1205846870 | Mathews County Public Schools | Local Education Agency (LEA) | 63 Church Street, Mathews, VA 23109 | 2006-08-08 |
| 1295756096 | Riverside Physician Services Inc | Internal Medicine | 10976 Buckley Hall Road, Mathews, VA 23109 | 2006-07-21 |
| 1679548705 | Shannon D Burris | Nurse Practitioner | 28 Church St, Mathews, VA 23109 | 2006-02-22 |
| Find all providers in zip 23109 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750937009 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 182 Shire Ln, North Tazewell, VA 24630-5044 | 2019-08-13 |
| 1649825092 | The Daily Planet Inc | Clinic/Center | 1532 High St, Richmond, VA 23220-2314 | 2019-08-02 |
| 1093367732 | Peninsula Institute for Community Health Inc | Clinic/Center | 7401 Warwick Blvd, Newport News, VA 23607-1515 | 2019-07-12 |
| 1538725668 | Peninsula Institute for Community Health Inc | Clinic/Center | 9294 Warwick Blvd, Newport News, VA 23607-1535 | 2019-05-14 |
| 1861909731 | The Daily Planet Inc | Clinic/Center | 2864 Hull St, Richmond, VA 23224-3680 | 2018-01-02 |
| 1427560242 | Neighborhood Health | Clinic/Center | 5000 Polk Ave, Alexandria, VA 22304-1908 | 2017-11-02 |
| 1679084297 | Neighborhood Health | Clinic/Center | 8100 Fordson Rd, Alexandria, VA 22306-3128 | 2017-10-23 |
| 1396256087 | Neighborhood Health | Clinic/Center | 1501 Cameron St, Alexandria, VA 22314-2702 | 2017-10-20 |
| 1689122186 | Monroe County Health Center Board of Trustees | Clinic/Center | 25239 Craigs Creek Rd, New Castle, VA 24127-6223 | 2016-09-14 |
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.