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AUDUBON BEHAVIORAL HEALTHCARE OF LONGVIEW LLC NPI 1306146733


NPI Information

NPI: 1306146733
Provider Name: AUDUBON BEHAVIORAL HEALTHCARE OF LONGVIEW, LLC

Doing Business As: OCEANS BEHAVIORAL HOSPITAL OF LONGVIEW

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 45D2045304

Address:
615 CLINIC DR
LONGVIEW, TX
ZIP 75605
Phone: (318) 797-6785
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AUDUBON BEHAVIORAL HEALTHCARE OF LONGVIEW, LLC is a psychiatric hospital in Longview, TX. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. AUDUBON BEHAVIORAL HEALTHCARE OF LONGVIEW, LLC NPI is 1306146733. The provider is registered as an organization entity type.
The provider Is Doing Business As Oceans Behavioral Hospital Of Longview.

The provider's business location address is:

615 CLINIC DR
LONGVIEW, TX
ZIP 75605-172
Phone: (318) 797-6785
Fax: (318) 797-6986

The provider's authorized official is Stuart Archer .
The authorized official title is Ceo and has the following contact phone number (972) 464-0022.

The CLIA number assigned to this NPI record is 45D2045304 - other - outpatient psychiatric with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2010 and was last updated on 12/23/2021.


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
1283Q00000XPsychiatric HospitalYes

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
1100106OTHERTEXASSTATE LICENSE

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

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