TIDEWATER EXPRESS TRANSPORTATION LLC NPI 1083173744

NPI Information

NPI: 1083173744
Provider Name: TIDEWATER EXPRESS TRANSPORTATION, LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
CLIA Number: 49D1050185
Address: 2007 JEHU ST
SUFFOLK, VA
ZIP 23435
Phone: (757) 639-9174

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NPI Details

TIDEWATER EXPRESS TRANSPORTATION, LLC is a non emergency medical transport van in Suffolk, VA. The provider is 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. TIDEWATER EXPRESS TRANSPORTATION, LLC NPI is 1083173744. The provider is registered as an organization entity type.

The provider's business location address is:

2007 JEHU ST
SUFFOLK, VA
ZIP 23435-539
Phone: (757) 639-9174

The provider's authorized official is Jariel Walton .
The authorized official title is Ceo and has the following contact phone number (757) 477-2680.

The CLIA number assigned to this NPI record is 49D1050185 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/13/2019 and was last updated on 3/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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