TIDEWATER MEDICAL TRANSPORT INC NPI 1699011312

NPI Information

TIDEWATER MEDICAL TRANSPORT, INC is an ambulance in Portsmouth, VA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). TIDEWATER MEDICAL TRANSPORT, INC NPI is 1699011312. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Tidewater Medical Transport Llc.

The provider's business location address is:

2503 WOODROW ST STE 8
PORTSMOUTH, VA
ZIP 23707-124
Phone: (757) 399-0999
Fax: (757) 399-1999

The provider's authorized official is Barbara Dawn Smith .
The authorized official title is President-owner and has the following contact phone number (757) 399-0999.

The enumeration date for this NPI number is 12/27/2012 and was last updated on 6/26/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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