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HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD
NPI 1528446507
Clinic/Center - Federally Qualified Health Center (FQHC) in Hampton, VA

Active since May 11, 2015CLIA 49D2124301 · Waiver
300 MEDICAL DR, HAMPTON, VA 23666(757) 788-0400(757) 788-0969 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hampton Newport News Community Services Board NPPES

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

HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD (NPI 1528446507) is a healthcare organization registered as a federally qualified health center (fqhc) in Hampton, Virginia and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Angela Futrell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528446507
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Location Address300 MEDICAL DRHampton, VA 23666-1765
Mailing Address1033 28th St, 2nd FloorNewport News, VA 23607-4233 · (757) 591-0643 · Fax (757) 228-1045
Phone(757) 788-0400
Fax(757) 788-0969
Organization SubpartNo
Authorized OfficialAngela FutrellCeo · (757) 591-0643
Enumeration DateMay 11, 2015
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1528446507 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
300 MEDICAL DR, Hampton, VA 23666
Open in Google Maps ↗

Other Names 1

Doing Business AsHampton Newport News Community Services Board

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 49D2124301

Hampton Newport News Community Services Board · Hampton, VA
Active · expires Jan 11, 2027
CLIA Number49D2124301
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorLaurie Ratledge
Laboratory Phone(757) 788-0200
Laboratory LocationHampton Newport News Community Services Board200 Medical Drive, Hampton, VA 23666
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDICE S JENKINS LPC
Counselor (Professional)
300 MEDICAL DR
HAMPTON, VA 23666
Hampton City (757) 788-0092
KELLY DAVIS HOWARD LPC
Counselor (Professional)
300 MEDICAL DR, 2ND FLR
HAMPTON, VA 23666
Hampton City (757) 788-0092
JADE WEST
Counselor (Professional)
300 MEDICAL DR
HAMPTON, VA 23666
Hampton City (470) 295-9484
DR. DAVID WATSON DUDLEY MD
Psychiatry & Neurology (Psychiatry)
300 MEDICAL DR, 2ND FLOOR
HAMPTON, VA 23666
Hampton City (757) 788-0201
PAULA TURNER MARKHAM PSY.D.
Psychologist (Clinical)
300 MEDICAL DR, 2ND FLOOR
HAMPTON, VA 23666
Hampton City (757) 788-0300
NICOLE D SINKLER DNP, FNP
Nurse Practitioner (Family)
300 MEDICAL DR, SUITE 400
HAMPTON, VA 23666
Hampton City (757) 788-0455
CASSANDRA LEE VETTER LPC
Counselor (Professional)
300 MEDICAL DR
HAMPTON, VA 23666
Hampton City (757) 788-0300
WESLEY ANDREWS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
300 MEDICAL DR
HAMPTON, VA 23666
Hampton City (757) 788-0203

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 1528446507. It was assigned to this organization in the NPPES registry on May 11, 2015. The provider is doing business as Hampton Newport News Community Services Board.

Where is Peninsula Institute For Community Health Inc located?

Peninsula Institute For Community Health Inc is located at 300 Medical Dr, Hampton, VA 23666. The listed phone number is (757) 788-0400.

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 49D2124301) is associated with this NPI, valid through January 11, 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 December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.