Western Tidewater Community Mental
Organization Active NPI Non-emergency Medical Transport (VAN) · Suffolk, VA
NPI 1164944740 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1164944740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- WESTERN TIDEWATER COMMUNITY MENTAL
- Practice address
- 5268 Godwin Blvd
Suffolk, VA 23434-8114 - Phone
- (757) 255-7117
- Fax
- (757) 255-7139
- NPI assigned
- Jul 14, 2017
- Organization subpart
- No
Authorized official
- Name
- Andrew F Jurewicz
- Title
- Finance Director
- Phone
- (757) 966-2805
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Western Tidewater Community Services Board
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
5268 Godwin Blvd
Suffolk, VA 23434-8114
Mailing address
7025 Harbour View Blvd Ste 119
Suffolk, VA 23435-2762
Phone (757) 966-2805
Other providers in Suffolk, VA
- Kenneth P Wells
- Carl Frank Wentzel III
- Isabella Wessel
- Danielle C West
- Kara Anderson West
- Western Tidewater Community Mental
- Western Tidewater Community Services Board
- Western Tidewater Community Services Board
- Western Tidewater Community Services Board
- Western Tidewater Community Services Board
All providers in Suffolk, VA · Non-emergency Medical Transport (VAN) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.