OrganizationActive
Western Tidewater Community Mental
NPI 1164944740 · Non-emergency Medical Transport (VAN) · Suffolk, VA
Provider details
- NPI number
- 1164944740
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Andrew Jurewicz, Finance Director(757) 966-2805
Specialties & taxonomies
Transportation Services
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5268 Godwin Blvd
Suffolk, VA 23434-8114
Phone: (757) 255-7117
Fax: (757) 255-7139
Street-level locationGet directions
Mailing address
7025 Harbour View Blvd Ste 119
Suffolk, VA 23435-2762
Registry dates
- Enumerated
- 2017-07-14
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.