MAIN STREET PHYSICIANS – NPI #1538292123
Clinic/Center
MAIN STREET PHYSICIANS is an AHC clinic located in SUFFOLK, VA. NPPES has assigned the NPI number 1538292123 to MAIN STREET PHYSICIANS on March 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAIN 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 14 years ago on Nov 01, 2012. 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 MAIN STREET PHYSICIANS below.
NPI Profile for
PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
(more than 19 years ago)
SUFFOLK, VA 23434 Phone: (757) 925-1866 Fax: (757) 928-0906
2ND FLOOR
NEWPORT NEWS, VA 23607-4233 Phone: (757) 591-0643 Fax: (757) 591-0682
CHIEF EXECUTIVE OFFICER
Phone: (757) 925-1866
Identifiers for MAIN 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | VA | 7687648 |
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.