SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED NPI 1043209919

NPI Information

NPI: 1043209919
Provider Name: SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
410 N 4TH ST
LONGVIEW, TX
ZIP 75601
Phone: (903) 234-0776
Get Directions

SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED is a federally qualified health center (fqhc) clinic center in Longview, TX. SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED NPI is 1043209919. The provider is registered as an organization entity type.

The provider's business location address is:

410 N 4TH ST
LONGVIEW, TX
ZIP 75601-511
Phone: (903) 234-0776
Fax: (903) 234-9769

The provider's authorized official is Shaun'ta Whitehead .
The authorized official title is Executive Director and has the following contact phone number (903) 234-0776.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 6/22/2023.

Taxonomy Codes

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0848160-01	MEDICAID	TEXAS

What is NPI?

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »