WESTERN TIDEWATER COMMUNITY MENTAL
NPI 1164944740
Non-emergency Medical Transport (VAN) in Suffolk, VA
NPI Status: Active since July 14, 2017
Contact Information
5268 GODWIN BLVD
SUFFOLK, VA
ZIP 23434
Phone: (757) 255-7117
Fax: (757) 255-7139
- Organization
- Non-emergency Medical Transport (VAN)
- CLIA Number: 49D2045667
- CLIA Cert. Type: Other - OUTPT CLINIC
- CLIA Exp. Date: 08-16-2026
About WESTERN TIDEWATER COMMUNITY MENTAL
This page provides the complete NPI Profile along with additional information for Western Tidewater Community Mental, a provider established in Suffolk, Virginia operating as a Non-emergency Medical Transport (van). The healthcare provider is registered in the NPI registry with number 1164944740 assigned on July 2017. The practitioner's primary taxonomy code is 343900000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Andrew F Jurewicz (Finance Director)
- NPI
- 1164944740
- Provider Name
- WESTERN TIDEWATER COMMUNITY MENTAL
- Entity Type
- Organization
- Location Address
- 5268 GODWIN BLVD SUFFOLK, VA 23434
- Location Phone
- (757) 255-7117
- Location Fax
- (757) 255-7139
- Mailing Address
- 7025 HARBOUR VIEW BLVD STE 119 SUFFOLK, VA 23435
- Mailing Phone
- (757) 966-2805
- Mailing Fax
- (757) 255-7139
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-14-2017
- Last Update Date
- 03-23-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-emergency Medical Transport (VAN)
- Taxonomy Code
- 343900000X
- Type
- Transportation Services
- Taxonomy Description
- A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2045667
- Facility Type
- Other - OUTPT CLINIC
- Certificate Effective Date
- August 17, 2024
- Certificate Expiration Date
- August 16, 2026
- Laboratory Director
- DIEIRCH KAISER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Western Tidewater Community Mental to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164944740, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
SUFFOLK, VA 23434
SUFFOLK, VA 23434
SUFFOLK, VA 23434
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164944740, enumerated as an "organization" on July 14, 2017.
The provider is located at 5268 GODWIN BLVD SUFFOLK, VA 23434 and the phone number is (757) 255-7117.
Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.
