| NPI | 1720462294 |
|---|---|
| Doing Business As | SOUTHEASTERN VIRGINIA HEALTH SYSTEM AT WESTERN TIDEWATER COMMUNITY SER |
| Entity Type | Organization |
| Authorized Contact | ANGELA FUTRELL CEO 757-591-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-20 |