48TH STREET PHYSICIANS – NPI #1508999293
Clinic/Center

48TH STREET PHYSICIANS is an AHC clinic located in NEWPORT NEWS, VA. NPPES has assigned the NPI number 1508999293 to 48TH STREET PHYSICIANS on March 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “48TH STREET PHYSICIANS” is a dba name, the actual legal business name for this organization is PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 18 years ago on Apr 01, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 48TH STREET PHYSICIANS below.

NPI Profile for
PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC

NPI Number
1508999293
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Doing Business As (dba): 48TH STREET PHYSICIANS
Primary location
4714 MARSHALL AVENUE
NEWPORT NEWS, VA 23607
Phone: (757) 380-8709 Fax: (757) 928-0902
Mailing address
1033 28TH ST
2ND FLOOR
NEWPORT NEWS, VA 23607-4233
Phone: (757) 591-0643 Fax: (757) 591-0682
Organization Subpart
No
Authorized Official
ANGELA FUTRELL
CHIEF EXECUTIVE OFFICER
Phone: (757) 380-8709
Updated
Identifiers

Identifiers for 48TH STREET PHYSICIANS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVA7687648
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.