PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC (NPI# 1538292123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538292123 |
| Entity Type | Organization |
| Organization Name | PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC |
| Other Organization Name | MAIN STREET PHYSICIANS |
| Practice Address |
157 North Main Street Suite A Suffolk VA 23434 |
| Mailing Address |
1033 28th St 2nd Floor Newport News VA 23607-4233 |
| Practice Telephone | 7579251866 |
| Practice Fax Number | 7579280906 |
| Mailing Telephone | 7575910643 |
| Mailing Fax Number | 7575910682 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | ANGELA FUTRELL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7579251866 |
| 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 | 7687648 | 05 |
| Other Name | Type Code |
|---|---|
| Main Street 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 |
| 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 |
| 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 |
157 NORTH MAIN STREET SUITE A |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| 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 |
|---|---|---|---|---|
| 1720462294 | Peninsula Institute for Community Health Inc | Clinic/Center | 5268 Godwin Blvd, Suffolk, VA 23434-8114 | 2015-07-15 |
| 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.