WESTERN TIDEWATER COMMUNITY MENTAL 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. WESTERN TIDEWATER COMMUNITY MENTAL NPI is 1164944740. The provider is registered as an organization entity type.
The provider's business location address is:
5268 GODWIN BLVD
SUFFOLK, VA
ZIP 23434-114
Phone: (757) 255-7117
Fax: (757) 255-7139
The provider's authorized official is Andrew F Jurewicz .
The authorized official title is Finance Director and has the following contact phone number (757) 255-7117.
The CLIA number assigned to this NPI record is 49D2045667 - other - outpt clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/14/2017 and was last updated on 7/14/2017.