National Provider Identifier Database

TIDEWATER MEDICAL TRANSPORT INC
Ambulance

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).


Contact Information

TIDEWATER MEDICAL TRANSPORT, INC
573 CHAUTAUQUA AVE
PORTSMOUTH, VA23707-2103
Phone: 757-399-0999
Fax: 757-399-1999
Website:
Specialty Taxonomy Code
* Ambulance 341600000X
Land Transport 3416L0300X

* Indicates primary specialty

NPI Profile & details for TIDEWATER MEDICAL TRANSPORT, INC

NPI Number 1699011312
Legal business name
LBN
TIDEWATER MEDICAL TRANSPORT, INC
Authorized official BARBARA SMITH - (PRESIDENT-OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/27/2012
Last updated 01/21/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0786425-9
  • VA Medicaid: 1699011312
  • Other: 712R4 CAGE CODE
  • VA Other: 064756499 D-U-N-S #
  • VA Other: 0786425-9 STATE CORPORATION COMMISSION
  • VA Other: 705193 SWAM
  • VA Other: 01333 VIRGINIA OFFICE OF EMERGENCY MEDICAL SERVICES (VAOEMS)

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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