PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC NPI 1275810152

NPI Information

NPI: 1275810152
Provider Name: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC

Doing Business As: STONEYBROOK PHYSICIANS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
15425 WARWICK BLVD # D
NEWPORT NEWS, VA
ZIP 23608
Phone: (757) 874-8400
Get Directions

PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC is a federally qualified health center (fqhc) clinic center in Newport News, VA. PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC NPI is 1275810152. The provider is registered as an organization entity type.
The provider Is Doing Business As Stoneybrook Physicians.

The provider's business location address is:

15425 WARWICK BLVD # D
NEWPORT NEWS, VA
ZIP 23608-579
Phone: (757) 874-8400
Fax: (757) 874-2295

The provider's authorized official is Angela Futrell .
The authorized official title is Executive Director and has the following contact phone number (757) 591-0643.

The CLIA number assigned to this NPI record is 49D0944077 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2011 and was last updated on 11/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

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This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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