| Southeastern Virginia Health System At Western Tidewater Community Ser | |
|
5268 Godwin Blvd Suffolk VA 23434-8114 | |
| (757) 255-7133 | |
| (757) 255-7142 |
| Full Name | Southeastern Virginia Health System At Western Tidewater Community Ser |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5268 Godwin Blvd, Suffolk, Virginia |
| Authorized Official Name and Position | Angela Futrell (CEO) |
| Authorized Official Contact | 7575910643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Virginia Health System At Western Tidewater Community Ser 1033 28th St Newport News VA 23607-4233 Ph: (757) 591-0643 | Southeastern Virginia Health System At Western Tidewater Community Ser 5268 Godwin Blvd Suffolk VA 23434-8114 Ph: (757) 255-7133 |
| NPI Number | 1720462294 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720462294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Southampton Orthopaedic And Sports Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2790 Godwin Blvd Ste 320, Suffolk, VA 23434 Phone: 757-942-9806 Fax: 757-562-7305 | |
Quickcare At Brenneman Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 University Blvd Ste 270, Suffolk, VA 23435 Phone: 757-335-4755 Fax: 757-335-4655 | |
Family Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 Hillpoint Blvd N, Suffolk, VA 23434 Phone: 757-934-3434 Fax: 757-538-9038 | |
Center For Health And Diabetes Education Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 N Saratoga St, Suffolk, VA 23434 Phone: 747-923-0300 Fax: 757-923-9300 | |
Family In Focus Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5705 Lee Farm Ln Ste C, Suffolk, VA 23435 Phone: 757-392-5545 Fax: 757-794-4855 | |
Western Tidewater Community Services Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7025 Harbour View Blvd Ste 119, Suffolk, VA 23435 Phone: 757-966-2805 Fax: 757-673-2586 |