VIRGINIA BEACH HOUSING RESOURCE CENTER HEALTH CLINIC
NPI 1043790124
Clinic/Center - Federally Qualified Health Center (FQHC) in Virginia Beach, VA
About Virginia Beach Housing Resource Center Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIRGINIA BEACH HOUSING RESOURCE CENTER HEALTH CLINIC (NPI 1043790124) is a healthcare organization registered as a federally qualified health center (fqhc) in Virginia Beach, Virginia and active in the NPI registry since August 2018. The organization lists Angela Futrell, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Virginia Beach Housing Resource Center Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Virginia Beach Housing Resource Center Health Clinic, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Peninsula Institute For Community Health Inc's NPI number?
The NPI number for Peninsula Institute For Community Health Inc is 1043790124. It was assigned to this organization in the NPPES registry on August 17, 2018. The provider is doing business as Virginia Beach Housing Resource Center Health Clinic.
Where is Peninsula Institute For Community Health Inc located?
Peninsula Institute For Community Health Inc is located at 104 N Witchduck Rd, Virginia Beach, VA 23462. The listed phone number is (757) 591-0643.
What is Peninsula Institute For Community Health Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Peninsula Institute For Community Health Inc enrolled in Medicare?
Yes. Peninsula Institute For Community Health Inc is registered in the Medicare PECOS enrollment system.
When is Peninsula Institute For Community Health Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Virginia, Federally Qualified Health Center (FQHC)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Peninsula Institute For Community Health Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 7 Medicare specialties reassign their Medicare billing to Peninsula Institute For Community Health Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (5), Family Practice (4) and Nurse Practitioner (3). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Peninsula Institute For Community Health Inc was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Virginia Beach Housing Resource Center Health Clinic · NPI 1043790124
Federally Qualified Health Center (FQHC) organization in Virginia Beach, Virginia. Organization record, active in the CMS NPPES registry since August 17, 2018.
## Identity
- **NPI:** 1043790124 (Entity type: Organization)
- **Enumerated:** August 17, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Peninsula Institute For Community Health Inc
- **Organization subpart:** No
- **Authorized official:** Angela Futrell, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 104 N WITCHDUCK RD, Virginia Beach, VA 23462-6506
- **Phone:** (757) 591-0643 · **Fax:** (757) 282-7810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Part A, Virginia, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 18 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (5), Family Practice (4), Nurse Practitioner (3); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1043790124) · Data from the CMS NPPES public registry.