1. Home
  2. Directory
  3. Virginia
  4. Newport News
  5. Clinic Center
  6. NPI Profile

48TH STREET PHYSICIANS
NPI 1508999293
Clinic/Center - Federally Qualified Health Center (FQHC) in Newport News, VA

Active since March 13, 2007CLIA 49D0230244 · Waiver
4714 MARSHALL AVENUE, NEWPORT NEWS, VA 23607(757) 380-8709(757) 928-0902 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 48th Street Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

48TH STREET PHYSICIANS (NPI 1508999293) is a healthcare organization registered as a federally qualified health center (fqhc) in Newport News, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Angela Futrell, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1508999293
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Location Address4714 MARSHALL AVENUENewport News, VA 23607
Mailing Address1033 28th St, 2nd FloorNewport News, VA 23607-4233 · (757) 591-0643 · Fax (757) 591-0682
Phone(757) 380-8709
Fax(757) 928-0902
Organization SubpartNo
Authorized OfficialAngela FutrellChief Executive Officer · (757) 380-8709
Enumeration DateMarch 13, 2007
Last NPPES UpdateApril 1, 2008
✔ NPI 1508999293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4714 MARSHALL AVENUE, Newport News, VA 23607
Open in Google Maps ↗

Other Names 1

Doing Business As48th Street Physicians

Other Identifiers 3

Medicaid7687648VA
Medicare PINC00908VA
Medicare OSCAR/certification491818VA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0230244

48th Street Physicians · Newport News, VA
Active · expires Jan 24, 2027
CLIA Number49D0230244
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorPauline Reed
Laboratory Phone(757) 380-8709
Laboratory Location48th Street Physicians4714 Marshall Ave, Newport News, VA 23607
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1508999293. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as 48th Street Physicians.

Where is Peninsula Institute For Community Health Inc located?

Peninsula Institute For Community Health Inc is located at 4714 Marshall Avenue, Newport News, VA 23607. The listed phone number is (757) 380-8709.

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.

Does Peninsula Institute For Community Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0230244) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peninsula Institute For Community Health Inc was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.