Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Western Tidewater Free Clinic Inc

Organization General Practice Physician · NPI 1295219210

Western Tidewater Free Clinic Inc provides General Practice Physician services 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.

See every abbreviation used in this directory →

Practice location Address checks out

2019 Meade Pkwy
Suffolk, VA 23434-4259
Phone: (757) 923-1060
Fax: (757) 923-1068
Show map & directions

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