PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC


Address: 15425h Warwick Blvd, Newport News, VA 23608
Phone: 7578748400

PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC (NPI# 1174656862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174656862
Entity Type Organization
Organization Name PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Other Organization Name STONEYBROOK PHYSICIANS
Practice Address 15425h Warwick Blvd
Newport News
VA 23608
Mailing Address 1033 28th St
2nd Floor
Newport News
VA 23607-4233
Practice Telephone 7578748400
Practice Fax Number 7578742295
Mailing Telephone 7575910643
Mailing Fax Number 7575910682
Enumeration Date 2007-03-13
Last Update Date 2010-09-24
Authorized Official Name ANGELA FUTRELL (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 7575910643
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
VA 007687648 05

Other Provider/Organization Names

Other Name Type Code
Stoneybrook Physicians Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1073872321 Peninsula Institute for Community Health Inc Clinic/Center 490 Liberty St, Chesapeake, VA 23324-2618 2012-05-08

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC. 1033 28th Street 2nd Floor, Newport News, Virginia 23607

Office Location

Street Address 15425H WARWICK BLVD
City NEWPORT NEWS
State VA
Zip Code 23608

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669943932 Marian Elizabeth Green Registered Nurse 628 Aylesbury Dr., Newport News, VA 23608 2018-12-16
1255707113 Global Counseling Services LLC Counselor 393 Denbigh Blvd. Suite 5, Newport News, VA 23608 2015-08-14
1720463128 Nurturing Hearts Services In Home Supportive Care 926 Verline Ct, Newport News, VA 23608 2015-07-27
1508253949 Morrison, Hartley, & Sanchez, P.C. Dentist 710 Denbigh Boulevard, Bldg. 1, Suite C, Newport News, VA 23608 2015-04-23
1033543459 First Choice Solutions Home Health Aide 710 Denbigh, 4b, Newport News, VA 23608 2013-08-22
1366888042 Megan Paige Dotson Occupational Therapist 655 Denbigh Blvd Newport News, Morning Side of Newport News, Newport News, VA 23608 2013-05-21
1194098848 Riverside Retirement Service PACE Provider Organization 439 Oriana Road, Newport News, VA 23608 2012-02-10
1427340876 Teawanna Cooper Home Health Aide 360 Roseman Ct, Apt 3d, Newport News, VA 23608 2011-05-04
1265763528 Just Us Kidz Incorporated Community/Behavioral Health 393 Denbigh Blvd, Suite 1, Newport News, VA 23608 2010-01-26
1063556363 Quanda Michon Griffin Registered Nurse Southeastern Virginia Health Systems-48th Street Physic, 4714 Marshall Ave, Newport News, VA 23608 2007-02-19
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1275810152 Peninsula Institute for Community Health Inc Clinic/Center 15425 Warwick Blvd # D, Newport News, VA 23608-1579 2011-11-07
1508999293 Peninsula Institute for Community Health Inc Clinic/Center 4714 Marshall Avenue, Newport News, VA 23607 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
1740458678 Peninsula Institute for Community Health Inc Clinic/Center 1033 28th St, Newport News, VA 23607-4233 2008-02-13

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1922552512 Kuumba Community Health & Wellness, Inc. Clinic/Center 321 Tazewell Ave Se, Roanoke, VA 24013-1445 2016-08-11
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Competitor

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City NEWPORT NEWS
Zip Code 23608

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Dataset Information

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.

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