PORTSMOUTH COMMUNITY HEALTH CENTER, INC (NPI# 1073833760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073833760 |
| Entity Type | Organization |
| Organization Name | PORTSMOUTH COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | PARK PLACE MEDICAL CENTER |
| Practice Address |
3415 Granby St Norfolk VA 23504-1421 |
| Mailing Address |
664 Lincoln St Portsmouth VA 23704-4818 |
| Practice Telephone | 7575339108 |
| Practice Fax Number | 7576226384 |
| Mailing Telephone | 7575339108 |
| Mailing Fax Number | 7576226384 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2015-01-16 |
| Authorized Official Name | BARBARA WILLIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7573970042 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Park Place Medical Center | Doing Business As Name - Organization |
| Street Address |
3415 GRANBY ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23504-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477524825 | Saundra E Winstead | Family Medicine | 3415 Granby St, Norfolk, VA 23504-1421 | 2006-02-01 |
| 1710266796 | Vladimir Markovic | General Practice | 3415 Granby St, Norfolk, VA 23504-1421 | 2011-08-09 |
| 1285928135 | Aerian Kristina Joyner | Nurse Practitioner | 3415 Granby St, Norfolk, VA 23504-1421 | 2011-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766391 | Naketa Hayes | Nurse's Aide | 958 Saint Julian Ave, Norfolk, VA 23504 | 2019-05-21 |
| 1114581931 | Kathleen S Thomas | Specialist/Technologist | 700 Park Avenue Brc-110, Norfolk, VA 23504 | 2019-04-26 |
| 1770008831 | Michelle Denise Dunn | Home Health | 1015 Saint Julian Ave, Norfolk, VA 23504 | 2017-08-10 |
| 1235654294 | International Home Health Care | Home Health | 1015 Saint Julian Ave., Norfolk, VA 23504 | 2017-08-10 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1619355922 | Healing Hands Massages | Health Maintenance Organization | 2581 Westminster Ave, Norfolk, VA 23504 | 2015-05-07 |
| 1790037554 | Briggs Home Health Agency | Home Health | 1751 Church St Suite A, Norfolk, VA 23504 | 2012-10-03 |
| 1336318179 | Freeman House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2909 E Virginia Beach Blvd, Norfolk, VA 23504 | 2008-02-26 |
| 1720146087 | Norfolk Eye Physicians & Surgeons Ltd. | Ophthalmology | 1005 May Avenue, Norfolk, VA 23504 | 2006-12-05 |
| 1659441814 | Norfolk Community Health Center Inc | Family Medicine | 1401 Tidewater Drive, Ste 1, Norfolk, VA 23504 | 2006-11-08 |
| Find all providers in zip 23504 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235484544 | Portsmouth Community Health Center Inc | Clinic/Center | 816 Whitaker Ln, Norfolk, VA 23510-3027 | 2012-07-24 |
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| 1992358824 | Midtown Health Center, Inc. | Clinic/Center | 600 E Benjamin Ave, Norfolk, NE 68701-0830 | 2019-07-19 |
| 1619529054 | Midtown Health Center, Inc. | Clinic/Center | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2019-07-16 |
| 1144604877 | Portsmouth Community Health Center Inc | Clinic/Center | 7447 Central Business Park Dr, Norfolk, VA 23513-2831 | 2015-07-13 |
| 1871848184 | Portsmouth Community Health Center Inc | Clinic/Center | 9581 Shore Dr, Norfolk, VA 23518-1711 | 2012-07-24 |
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| 1093367732 | Peninsula Institute for Community Health Inc | Clinic/Center | 7401 Warwick Blvd, Newport News, VA 23607-1515 | 2019-07-12 |
| 1538725668 | Peninsula Institute for Community Health Inc | Clinic/Center | 9294 Warwick Blvd, Newport News, VA 23607-1535 | 2019-05-14 |
| 1861909731 | The Daily Planet Inc | Clinic/Center | 2864 Hull St, Richmond, VA 23224-3680 | 2018-01-02 |
| 1427560242 | Neighborhood Health | Clinic/Center | 5000 Polk Ave, Alexandria, VA 22304-1908 | 2017-11-02 |
| 1679084297 | Neighborhood Health | Clinic/Center | 8100 Fordson Rd, Alexandria, VA 22306-3128 | 2017-10-23 |
| 1396256087 | Neighborhood Health | Clinic/Center | 1501 Cameron St, Alexandria, VA 22314-2702 | 2017-10-20 |
| 1689122186 | Monroe County Health Center Board of Trustees | Clinic/Center | 25239 Craigs Creek Rd, New Castle, VA 24127-6223 | 2016-09-14 |
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.