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LONGVIEW WELLNESS CENTER INC. NPI 1336788355


NPI Information

NPI: 1336788355
Provider Name: LONGVIEW WELLNESS CENTER, INC.

Doing Business As: WELLNESS POINTE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
705 E MARSHALL AVE STE 3000
LONGVIEW, TX
ZIP 75601
Phone: (903) 758-2610
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LONGVIEW WELLNESS CENTER, INC. is a federally qualified health center (fqhc) clinic center in Longview, TX. LONGVIEW WELLNESS CENTER, INC. NPI is 1336788355. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellness Pointe.

The provider's business location address is:

705 E MARSHALL AVE STE 3000
LONGVIEW, TX
ZIP 75601-661
Phone: (903) 758-2610
Fax: (903) 758-7081

The provider's authorized official is Timothy Chad Jones .
The authorized official title is Chief Executive Officer and has the following contact phone number (903) 758-2610.

The enumeration date for this NPI number is 12/23/2019 and was last updated on 1/5/2024.


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
1207V00000XObstetrics & GynecologyNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
1183824501MEDICAIDTEXAS

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

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.