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CH03224T PENINSULA INSTITUTE FOR COMMUNITY HEALTH, INC (Active)
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Main Details
Name
PENINSULA INSTITUTE FOR COMMUNITY HEALTH, INC
Subdivision Name
Franklin Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017682
340B ID
CH03224T
Grant Number
H80CS00073
Additional Details
Current Program Status
Active
Registration Date
4/7/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/11/2016
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) 223-7007
Addresses
Street Address
1357 Armory Drive
Franklin, VA 23851-2419
Billing Address
Southeastern Virginia Health System
1033 28th Street
Newport News, VA 23607
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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