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CH03224Q PENINSULA INSTITUTE FOR COMMUNITY HEALTH (PICH) (Terminated)
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Main Details
Name
PENINSULA INSTITUTE FOR COMMUNITY HEALTH (PICH)
Subdivision Name
VICTORIA BLVD PHYSICIANS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010473
340B ID
CH03224Q
Grant Number
H80CS00073
Additional Details
Current Program Status
Terminated
Registration Date
10/10/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/18/2012
Last Recertification Date
2/14/2017
Termination Date
Termination Reason
4/1/2018
Site closure
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
3130 VICTORIA BLVD
HAMPTON, VA 23661-1544
Billing Address
PENINSULA INSTITUTE FOR COMMUNITY HEALTH
1033-28TH STREET
SECOND FLOOR
NEWPORT NEWS, VA 23607
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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