Tidewater Medical Transport Llc

LBN: Tidewater Medical Transport, Inc
Tidewater Medical Transport Llc is an health care organization with primary practice located at 2503 Woodrow St Ste 8 , Portsmouth VA 23707-2124. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Ambulance, Transportation Services / Land Transport. Transportation Services / Ambulance is the primary health care specialty. Tidewater Medical Transport, Inc can be contacted via phone (757) 399-0999, or through Smith, Barbara Dawn via phone (757) 399-0999.

Contact Information

Primary practice address
2503 Woodrow St Ste 8 Portsmouth VA 23707-2124
Phone: (757) 399-0999
Fax: (757) 399-1999
Website:
Map and Directions
Authorized official contact:
Name: Smith, Barbara Dawn
Phone: (757) 399-0999

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 0786425-9 Virginia
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1699011312
LBN Legal business name Tidewater Medical Transport, Inc
DBA Doing business as Tidewater Medical Transport Llc
Authorized official Smith, Barbara Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2012
Last updated Jun 26th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699011312 NPPES
Virginia Other 0786425-9 STATE CORPORATION COMMISSION
Virginia Other 01333 STATE CORPORATION COMMISSION
Virginia Other 064756499 STATE CORPORATION COMMISSION
Virginia Other 705193 STATE CORPORATION COMMISSION
Virginia Other 712R4 STATE CORPORATION COMMISSION
Virginia MEDICAID 1699011312 STATE CORPORATION COMMISSION

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