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VIRGINIA BEACH FAMILY MEDICINE
NPI 1902050875
Clinic/Center - Federally Qualified Health Center (FQHC) in Virginia Beach, VA

Active since November 05, 2008CLIA 49D1095204 · Waiver
940 GENERAL BOOTH BLVD, SUITE A, VIRGINIA BEACH, VA 23451(757) 591-0643(757) 928-3239 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Virginia Beach Family Medicine NPPES

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

VIRGINIA BEACH FAMILY MEDICINE (NPI 1902050875) is a healthcare organization registered as a federally qualified health center (fqhc) in Virginia Beach, Virginia and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Angela Futrell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902050875
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Location Address940 GENERAL BOOTH BLVD, SUITE AVirginia Beach, VA 23451-4857
Mailing Address1033 28th StNewport News, VA 23607-4233 · (757) 591-0643 · Fax (757) 928-3239
Phone(757) 591-0643
Fax(757) 928-3239
Organization SubpartNo
Authorized OfficialAngela FutrellExecutive Director · (757) 591-0643
Enumeration DateNovember 5, 2008
Last NPPES UpdateMarch 30, 2009
✔ NPI 1902050875 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
940 GENERAL BOOTH BLVD, Virginia Beach, VA 23451
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Other Names 1

Doing Business AsVirginia Beach Family Medicine

Other Identifiers 1

Medicare PINC00908VA

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 49D1095204

Virginia Beach Family Medical Center · Virginia Beach, VA
Active · expires Feb 5, 2027
CLIA Number49D1095204
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorPauline Reed
Laboratory Phone(757) 591-0643
Laboratory LocationVirginia Beach Family Medical Center940 General Booth Boulevard - Suite A, Virginia Beach, VA 23451
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. PAULINE CARVELLA REED M.D.
Family Medicine
940 GENERAL BOOTH BLVD, SUITE A
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 425-3610
HOLLEY FAMILY DENTISTRY OF VIRGINIA BEACH
Dentist
940 GENERAL BOOTH BLVD, SUITE C
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 425-1155
ALFRED BRIDGES
Counselor (Addiction (Substance Use Disorder))
940 GENERAL BOOTH BLVD
VA BEACH, VA 23451
Virginia Beach City (757) 425-3616
CARTER L RICHARDS D.D.S., P.C.
Dentist (General Practice)
940 GENERAL BOOTH BLVD, SUITE #C
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 425-1125
ANDREI SAN-MARINA MD
Internal Medicine
940 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 325-4610
DR. DONALD L COCHRAN MD
Family Medicine
940 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 245-3610

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 1902050875. It was assigned to this organization in the NPPES registry on November 5, 2008. The provider is doing business as Virginia Beach Family Medicine.

Where is Peninsula Institute For Community Health Inc located?

Peninsula Institute For Community Health Inc is located at 940 General Booth Blvd Suite A, Virginia Beach, VA 23451. 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.

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

Yes. A Certificate of Waiver (number 49D1095204) is associated with this NPI, valid through February 5, 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 March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.