PORTSMOUTH COMMUNITY HEALTH CENTER, INC. (NPI# 1134199193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134199193 |
| Entity Type | Organization |
| Organization Name | PORTSMOUTH COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
664 Lincoln St Portsmouth VA 23704-4818 |
| Practice Telephone | 7573970042 |
| Practice Fax Number | 7573970047 |
| Mailing Telephone | 7573970042 |
| Mailing Fax Number | 7573970047 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2015-01-16 |
| Authorized Official Name | BARBARA WILLIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7573970042 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007600267 | 05 |
| Street Address |
664 LINCOLN ST |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23704-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114917754 | Kara E Ditto | Psychiatry & Neurology | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2005-10-25 |
| 1861998981 | Kathryn Jane Langan | Nurse Practitioner | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2018-04-05 |
| 1215448261 | Ashley N/a Lans | Nurse Practitioner | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2017-10-17 |
| 1083133615 | Kira Ashley Dent | Nurse Practitioner | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2017-09-14 |
| 1952754483 | Hampton Roads Community Health Center | Clinic/Center | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2016-07-20 |
| 1194178145 | Lea Chanel Barrett | Social Worker | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2016-07-14 |
| 1053785758 | Kathy Johnson | Counselor | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2015-11-18 |
| 1699151894 | Amanda Parmelee | Nurse Practitioner | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2015-08-11 |
| 1902282114 | Hampton Roads Community Health Center | Clinic/Center | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2015-08-11 |
| 1215280359 | Radha K.c. | Internal Medicine | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973588 | Ralpheana Denee Lawton | Clinic/Center | 2317 Richmond Ave, Portsmouth, VA 23704 | 2020-05-12 |
| 1376079186 | Faithful Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1509 Parker Ave, Portsmouth, VA 23704 | 2017-05-11 |
| 1285184168 | Sarah Crawford | Counselor | Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 | 2016-10-04 |
| 1295137560 | Sarah Lee Arnell Rogers | Registered Nurse | 935 Blair Steet, Portsmouth, VA 23704 | 2014-09-18 |
| 1396161212 | Cheryl Denise Mcneil | Home Health | 1416 Portsmouth Boulevard, Portsmouth, VA 23704 | 2014-03-17 |
| 1609173988 | Roberta Marie Hansel-union | Behavioral Analyst | 711 Court Street, Portsmouth, VA 23704 | 2011-02-22 |
| 1447560875 | Denise Anderson Anderson | Licensed Vocational Nurse | 1227 Summit Ave, Portsmouth, VA 23704 | 2010-10-19 |
| 1770890204 | Reymond G. Pascual Md.,pc | Specialist | 704 London Blvd, Portsmouth, VA 23704 | 2010-09-03 |
| 1184820003 | Charles Seth Eisenberg | Internal Medicine | Nmcp Cardiology, 620 John Paul Jones Cir, Portsmouth, VA 23704 | 2007-06-26 |
| 1902028251 | James Bentley Treatment Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1020 Leckie Street, Portsmouth, VA 23704 | 2007-05-03 |
| Find all providers in zip 23704 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1881978658 | Greater Seacoast Community Health | Clinic/Center | 600 Lafayette Rd, Portsmouth, NH 03801-5435 | 2011-09-28 |
| 1063982924 | Shawnee Mental Health Center, Inc. | Clinic/Center | 901 Washington St, Portsmouth, OH 45662-3944 | 2018-12-04 |
| 1174047658 | Compass Community Health | Clinic/Center | 411 Court St, Portsmouth, OH 45662-3932 | 2017-07-27 |
| 1902282114 | Hampton Roads Community Health Center | Clinic/Center | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2015-08-11 |
| 1790116218 | Community Action Committee of Pike County | Clinic/Center | 621 Broadway St, Portsmouth, OH 45662-4788 | 2013-12-09 |
| 1093044331 | Community Action Committee of Pike County | Clinic/Center | 717 5th St, Portsmouth Family Health Center, Portsmouth, OH 45662-4007 | 2009-12-16 |
| 1639339948 | Greater Seacoast Community Health | Clinic/Center | 100 Campus Dr, Suite 12, Portsmouth, NH 03801-5892 | 2008-06-10 |
| 1114935871 | Greater Seacoast Community Health | Clinic/Center | 100 Campus Dr, Suite 12, Portsmouth, NH 03801-5892 | 2006-08-04 |
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| 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 | ||||
| City | PORTSMOUTH |
| Zip Code | 23704 |
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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.