SABINE VALLEY REGIONAL MHMR CENTER NPI 1639232002

NPI Information

NPI: 1639232002
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:
107 WOODBINE PL
LONGVIEW, TX
ZIP 75601
Phone: (903) 758-2471
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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 1639232002. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Healthcore.

The provider's business location address is:

107 WOODBINE PL
LONGVIEW, TX
ZIP 75601-912
Phone: (903) 758-2471
Fax: (903) 234-1639

The provider's authorized official is Rosemary O Villarreal .
The authorized official title is Credentialing Specialist and has the following contact phone number (903) 234-4226.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 6/14/2022.

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	Primary
1	1041C0700X	Social Worker	Clinical	No
2	106H00000X	Marriage & Family Therapist		No
3	171M00000X	Case Manager/Care Coordinator		No
4	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	101YP2500X	Counselor	Professional	No
7	363A00000X	Physician Assistant		No
8	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
9	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	No
10	251B00000X	Case Management		No
11	363LF0000X	Nurse Practitioner	Family	No
12	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
13	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	Other Provider Identifier Issuer
1	137921607	MEDICAID	TEXAS
2	137921608	MEDICAID	TEXAS
3	137921606	MEDICAID	TEXAS
4	00BM15	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
5	137921602	MEDICAID	TEXAS
6	137921601	MEDICAID	TEXAS
7	129201	OTHER	TEXAS	SUPERIOR HEALTH PLAN CHIP
8	CB6459	OTHER	TEXAS	RAILROAD MEDICARE

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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