Western Tidewater Free Clinic Inc
NPI 1295219210ActiveOrganization· General Practice· Suffolk, VA
General Practice in Suffolk, Virginia, registered in NPPES in September 2018. The authorized official on file is Chester Marvin Hart, Executive Director.
Overview
| NPI | 1295219210 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2018 |
| Last updated in NPPES | Sep 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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