PORTSMOUTH COMMUNITY HEALTH CENTER INC (NPI# 1144604877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144604877 |
| Entity Type | Organization |
| Organization Name | PORTSMOUTH COMMUNITY HEALTH CENTER INC |
| Other Organization Name | LITTLE CREEK FAMILY MEDICAL CENTER |
| Practice Address |
7447 Central Business Park Dr Norfolk VA 23513-2831 |
| Mailing Address |
644 Lincoln Street Portsmouth VA 23704 |
| Practice Telephone | 7572958100 |
| Practice Fax Number | 7572151054 |
| Mailing Telephone | 7573936363 |
| Mailing Fax Number | 7573970047 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | BARBARA WILLIS (CEO) |
| Authorized Official Telephone | 7573936363 |
| 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 |
|---|---|
| Hampton Road I Care | Doing Business As Name - Organization |
| Little Creek Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235484544 | Portsmouth Community Health Center Inc | Clinic/Center | 816 Whitaker Ln, Norfolk, VA 23510-3027 | 2012-07-24 |
| 1871848184 | Portsmouth Community Health Center Inc | Clinic/Center | 9581 Shore Dr, Norfolk, VA 23518-1711 | 2012-07-24 |
| Street Address |
7447 CENTRAL BUSINESS PARK DR |
| City | NORFOLK |
| State | VA |
| Zip Code | 23513-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453563 | Brian Richard Doeren | Family Medicine | 7447 Central Business Park Dr, Suite 104, Norfolk, VA 23513-2831 | 2005-08-10 |
| 1619517760 | Shaqwena A Daughtry | Counselor | 7447 Central Business Park Dr, Norfolk, VA 23513-2831 | 2020-01-07 |
| 1659623221 | Katayoun Khosravani | Family Medicine | 7447 Central Business Park Dr, Suite 104, Norfolk, VA 23513-2831 | 2012-10-08 |
| 1730437435 | Winifred Nchotu | Nurse Practitioner | 7447 Central Business Park Dr, Ste 104b, Norfolk, VA 23513-2831 | 2012-08-28 |
| 1497997522 | Latonia V. Edmonds | Social Worker | 7447 Central Business Park Dr, Norfolk, VA 23513-2831 | 2009-04-06 |
| 1356302798 | Bill Jeffrey Forte | Psychiatry & Neurology | 7447 Central Business Park Dr, Norfolk, VA 23513-2831 | 2006-03-28 |
| 1407826225 | Janice Denise Williams | Family Medicine | 7447 Central Business Park Dr, Norfolk, VA 23513-2831 | 2006-01-24 |
| 1659359230 | Paul Augustine | Internal Medicine | 7447 Central Business Park Dr, Suite 104, Norfolk, VA 23513-2831 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505736 | Dennis Todd Doyle | Speech-Language Pathologist | Norview High School, 6501 Chesapeake Blvd, Norfolk, VA 23513 | 2019-08-29 |
| 1760952592 | R&r Residential, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2714 Sewells Point Rd, Norfolk, VA 23513 | 2018-12-05 |
| 1881100980 | A Touch of Heaven, Inc | Home Health | 2350 Azalea Garden Rd, Norfolk, VA 23513 | 2017-12-27 |
| 1346767480 | Sonya Scott | Driver | 1254 Piccadilly St. Apt A, Norfolk, VA 23513 | 2017-08-29 |
| 1518481787 | Hampton Roads Transportation, Inc. | Taxi | 6304 Sewells Point Road, Norfolk, VA 23513 | 2017-07-31 |
| 1942740626 | Carlisle Living LLC | Home Health | 3300 East Princess Ann Rd, Norfolk, VA 23513 | 2017-03-01 |
| 1528347283 | Brooke Taylor Krolewski | Pharmacist | 5313 Henneman Drive, Norfolk, VA 23513 | 2011-08-12 |
| 1639496995 | Miranda Dennis | Social Worker | 3131 Azalea Garden Rd # B, Norfolk, VA 23513 | 2010-04-27 |
| 1972759421 | Norview Family Practice | Family Medicine | 1477 Norview Avenue, Norfolk, VA 23513 | 2008-08-15 |
| 1508037094 | Lisa M. Weaber | Counselor | 7460 Central Business Park Drive, Norfolk, VA 23513 | 2008-03-12 |
| Find all providers in zip 23513 | ||||
| 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 |
| 1174136543 | Midtown Health Center, Inc. | Clinic/Center | 210 S 3rd St, Norfolk, NE 68701-5204 | 2020-08-26 |
| 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 |
| 1871848184 | Portsmouth Community Health Center Inc | Clinic/Center | 9581 Shore Dr, Norfolk, VA 23518-1711 | 2012-07-24 |
| 1073833760 | Portsmouth Community Health Center, Inc | Clinic/Center | 3415 Granby St, Norfolk, VA 23504-1421 | 2010-06-04 |
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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.