SABINE VALLEY REGIONAL MHMR CENTER NPI 1235598806

NPI Information

NPI: 1235598806
Provider Name: SABINE VALLEY REGIONAL MHMR CENTER

Doing Business As: COMMUNITY HEALTHCORE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
701 E MARSHALL AVE
SUITE 310
LONGVIEW, TX
ZIP 75601
Phone: (903) 234-9200
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SABINE VALLEY REGIONAL MHMR CENTER is a mental health (including community mental health center) clinic center in Longview, TX. SABINE VALLEY REGIONAL MHMR CENTER NPI is 1235598806. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Healthcore.

The provider's business location address is:

701 E MARSHALL AVE
SUITE 310
LONGVIEW, TX
ZIP 75601-659
Phone: (903) 234-9200
Fax: (903) 232-1590

The provider's authorized official is Marilyn Sue Rathbun .
The authorized official title is Chief Financial Officer and has the following contact phone number (903) 237-2317.

The CLIA number assigned to this NPI record is 45D1027921 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2016 and was last updated on 2/14/2016.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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
1	1639232002	MEDICAID	TEXAS
2	1568788107	MEDICAID	TEXAS
3	00BM15	MEDICARE PIN	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

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