WESTERN TIDEWATER COMMUNITY SERVICES BOARD is a primary care clinic center in Suffolk, VA. WESTERN TIDEWATER COMMUNITY SERVICES BOARD NPI is 1245082270. The provider is registered as an organization entity type.
The provider's business location address is:
7025 HARBOUR VIEW BLVD STE 119 SUFFOLK, VA ZIP 23435-762 Phone: (757) 966-2805 Fax: (757) 673-2586
The provider's authorized official is Demetrios Nicholas Peratsakis . The authorized official title is Executive Director and has the following contact phone number (757) 377-2397.
The enumeration date for this NPI number is 4/3/2024 and was last updated on 4/3/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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