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CH03224K PENINSULA INSTITUTE FOR COMMUNITY HEALTH (PICH) (Terminated)
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Main Details
Name
PENINSULA INSTITUTE FOR COMMUNITY HEALTH (PICH)
Subdivision Name
TOWN CENTER PHYSICIANS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000374
340B ID
CH03224K
Grant Number
H80CS00073
Additional Details
Current Program Status
Terminated
Registration Date
8/15/2008
Participating Start Date
9/1/2008
Participating Approval Date
8/22/2008
Last Recertification Date
1/31/2022
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
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) 223-7007
Addresses
Street Address
10980 BUCKLEY HALL ROAD, BLDG 5
MATHEWS, VA 23109
Billing Address
PENINSULA INSTITUTE FOR COMMUNITY HEALTH (PICH)
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)9/17/09 ADDR UPDATE (WAS BLDG S)
09/24/2009
June 2025
June 2025
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