LONGVIEW WELLNESS CENTER INC NPI 1790955847

NPI Information

NPI: 1790955847
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:
602 TITUS ST.
STE. 130
GILMER, TX
ZIP 75644
Phone: (903) 758-2610
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LONGVIEW WELLNESS CENTER, INC is a federally qualified health center (fqhc) clinic center in Gilmer, TX. LONGVIEW WELLNESS CENTER, INC NPI is 1790955847. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellness Pointe.

The provider's business location address is:

602 TITUS ST.
STE. 130
GILMER, TX
ZIP 75644-700
Phone: (903) 758-2610
Fax: (903) 758-3124

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

The CLIA number assigned to this NPI record is 45D0482698 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/5/2008 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
1	261QF0400X	Clinic/Center	Federally 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
1	183824501	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

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