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Western Tidewater Community Mental
Non-emergency Medical Transport (VAN) in Suffolk, Virginia
NPI 1164944740

Western Tidewater Community Mental is a Non-emergency Medical Transport (VAN) based in Suffolk, VA. Western Tidewater Community Mental practices in Suffolk, VA. The NPI Number for Western Tidewater Community Mental is 1164944740 and holds a License No. (Virginia).

The current practice location address for Western Tidewater Community Mental is 5268 Godwin Blvd, Suffolk, VA and can be reached out via phone at 757-255-7117 and via fax at 757-255-7139. You can also correspond with Western Tidewater Community Mental through the mailing address at 5268 GODWIN BLVD, SUFFOLK, VA - 23434-8114 (mailing address contact number: 757-255-7117).

Location: 5268 Godwin Blvd, Suffolk, VA, 23434-8114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164944740
Provider Name
Western Tidewater Community Mental
Credential
Provider Entity Type
Organization
Address
5268 Godwin Blvd, Suffolk, VA, 23434-8114
Phone Number
757-255-7117
Fax Number
757-255-7139
Provider Enumeration Date
07/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5268 Godwin Blvd
City
Suffolk
State
Virginia
Zip
23434-8114
Phone Number
757-255-7117
Fax Number
757-255-7139
person
Provider Business Mailing Address Details
Address
5268 Godwin Blvd
City
Suffolk
State
Virginia
Zip
23434-8114
Phone Number
757-255-7117
Fax Number
757-255-7139
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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