48Th Street Physicians

LBN: Peninsula Institute For Community Health Inc
48Th Street Physicians is an health care organization with primary practice located at 4714 Marshall Avenue , Newport News VA 23607. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Peninsula Institute For Community Health Inc can be contacted via phone (757) 380-8709, or through Futrell, Angela via phone (757) 380-8709.

Contact Information

Primary practice address
4714 Marshall Avenue Newport News VA 23607
Phone: (757) 380-8709
Fax: (757) 928-0902
Website:
Map and Directions
Authorized official contact:
Name: Futrell, Angela
Phone: (757) 380-8709

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1508999293
LBN Legal business name Peninsula Institute For Community Health Inc
DBA Doing business as 48Th Street Physicians
Authorized official Futrell, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Apr 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508999293 NPPES
Virginia MEDICAID 7687648

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