Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Western Tidewater Free Clinic Inc

Organization General Practice Physician · NPI 1295219210

Western Tidewater Free Clinic Inc is a General Practice Physician in Suffolk, Virginia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2019 Meade Pkwy
Suffolk, VA 23434-4259
Phone: (757) 923-1060
Fax: (757) 923-1068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1295219210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chester Hart — Executive Director · (757) 923-1060
NPI enumeratedSeptember 17, 2018
Last updated in NPPESSeptember 17, 2018
Mailing address2019 Meade Pkwy, Suffolk, VA 23434-4259

Other providers in Suffolk