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Western Tidewater Health District
Public Health or Welfare Agency in Suffolk, Virginia
NPI 1629156039

Western Tidewater Health District is a Public Health or Welfare Agency based in Suffolk, VA. Western Tidewater Health District practices in Suffolk, VA. The NPI Number for Western Tidewater Health District is 1629156039 and holds a License No. (Virginia).

The current practice location address for Western Tidewater Health District is 1217 N Main St, Suffolk, VA and can be reached out via phone at 757-686-4901 and via fax at 757-925-2243.

Location: 1217 N Main St, Suffolk, VA, 23434-4320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629156039
Provider Name
Western Tidewater Health District
Credential
Provider Entity Type
Organization
Address
1217 N Main St, Suffolk, VA, 23434-4320
Phone Number
757-686-4901
Fax Number
757-925-2243
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4972279 05 VA
institution
Provider Business Practice Location Address Details
Address
1217 N Main St
City
Suffolk
State
Virginia
Zip
23434-4320
Phone Number
757-686-4901
Fax Number
757-925-2243
person
Provider Business Mailing Address Details
Address
1217 N Main St
City
Suffolk
State
Virginia
Zip
23434-4320
Phone Number
757-686-4901
Fax Number
757-925-2243
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
(Virginia)
Definition
Definition to come...
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