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CH03224J PENINSULA INSTITUTE FOR COMMUNITY HEALTH (PICH) (Active)
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Main Details
Name
PENINSULA INSTITUTE FOR COMMUNITY HEALTH (PICH)
Subdivision Name
DBA COMMUNITY DENTAL SERVICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002976
340B ID
CH03224J
Grant Number
H80CS00073
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
12/2/2004
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Peninsula Institue for Community Health
ANGELA FUTRELL, CEO
(757) 591-0643 Ext: 1120
Primary Contact
Peninsula Institute for Community Health
Valda Branch, COO
(757) 591-0643 Ext: 1119
Addresses
Street Address
1033-28TH STREET, 1ST FLOOR
NEWPORT NEWS, VA 23607-2247
Billing Address
Peninsula Institute for Community Health
1033 28th Street,2nd Floor
Newport News, VA 23607-2247
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/24/09 SHIP TO REMOVED (WAS PHARMACY CARE OF HAMPTON ROADS 1033-28TH STREET, 2ND FLOOR)
09/24/2009
June 2025
June 2025
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