LONGVIEW WELLNESS CENTER, INC (NPI# 1023426665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023426665 |
| Entity Type | Organization |
| Organization Name | LONGVIEW WELLNESS CENTER, INC |
| Other Organization Name | WELLNESS POINTE |
| Practice Address |
2131 S Mobberly Ave Longview TX 75602 |
| Mailing Address |
1107 E Marshall Ave Longview TX 75601-5602 |
| Practice Telephone | 9037582610 |
| Practice Fax Number | 9037583124 |
| Mailing Telephone | 9037582610 |
| Mailing Fax Number | 9037583124 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | TIMOTHY CHAD JONES (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9037582610 |
| Is Organization Subpart | Y |
| Parent Organization Name | LONGVIEW WELLNESS CENTER, INC. DBA WELLNESS POINTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wellness Pointe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982837829 | Longview Wellness Center, Inc | Clinic/Center | 1711 S. Henderson Blvd., Ste. 400, Kilgore, TX 75662-3563 | 2009-08-26 |
| 1124252341 | Longview Wellness Center, Inc | Case Manager/Care Coordinator | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2009-05-04 |
| 1790955847 | Longview Wellness Center, Inc | Clinic/Center | 602 Titus St., Ste. 130, Gilmer, TX 75644-1700 | 2008-03-05 |
| 1942269493 | Longview Wellness Center, Inc | Dentist | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2006-03-22 |
| Street Address |
2131 S MOBBERLY AVE |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288430 | Jeffrey William Sewell | Legal Medicine | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2005-07-07 |
| 1669872560 | East Texas Border Health Clinic | Clinic/Center | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2014-08-27 |
| 1982954566 | Julia Ann Russell | Nurse Practitioner | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2012-09-11 |
| 1033401559 | Paul L. Burch | Physician Assistant | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2011-05-03 |
| 1972688497 | Vada Ann Culpepper | Physician Assistant | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083150569 | Mcet-longview | Clinic/Center | 505 North Sixth Street, Longview, TX 75602 | 2017-01-09 |
| 1962561597 | Robert Lee Harper | Dentist | 1002 So M L King Jr Blvd, Longview, TX 75602 | 2006-12-08 |
| 1033202700 | Hervey & Bethard Inc. | Durable Medical Equipment & Medical Supplies | 1900 S. High St., Longview, TX 75602 | 2006-10-02 |
| 1063748796 | Jeffery Michael Stowers | Pharmacist | 1900 S High St, Longview, TX 75602 | 2009-10-31 |
| 1326541368 | Tonie Elaine Bryant | Licensed Vocational Nurse | 1006 Flanagan Dr, Longview, TX 75602-1013 | 2018-03-15 |
| 1285145839 | Maria Tran | Specialist/Technologist | 16 Covington Dr, Longview, TX 75602-1071 | 2017-10-21 |
| 1639635444 | G and T Young At Heart | Counselor | 1012 E Cotton St, Longview, TX 75602-1322 | 2019-02-17 |
| 1982020038 | Julie A Dollison | Perfusionist | 301 S Club Dr, Longview, TX 75602-1511 | 2014-03-13 |
| 1881009231 | Brandi Mccracken | Specialist/Technologist, Other | 301 S Club Dr, Longview, TX 75602-1511 | 2014-06-24 |
| 1578982948 | Community Perfusion Services LLC | Perfusionist | 301 S Club Dr, Longview, TX 75602-1511 | 2014-04-14 |
| Find all providers in zip 75602 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518486380 | Longview Wellness Center Inc | Clinic/Center | 1107 E Marshall Ave Bldg 2, Longview, TX 75601-5602 | 2017-09-13 |
| 1417476284 | Longview Wellness Center Inc | Clinic/Center | 1107 E Marshall Ave Bldg 3, Longview, TX 75601-5602 | 2017-09-13 |
| 1770122681 | Longview Wellness Center, Inc. | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-12-26 |
| 1891280277 | Special Health Resources for Texas Incorporated | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-06-27 |
| 1740783620 | Special Health Resources for Texas, Incorporated | Clinic/Center | 1300 N 6th St, Longview, TX 75601-5567 | 2018-03-16 |
| 1922556067 | Special Health Resources for Texas, Inc | Clinic/Center | 402 N 7th St, Longview, TX 75601-6704 | 2016-09-19 |
| 1750769238 | Special Health Resources for Texas Incorporated | Clinic/Center | 703 E Marshall Ave, Suite 310, Longview, TX 75601-5500 | 2015-05-15 |
| 1669872560 | East Texas Border Health Clinic | Clinic/Center | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2014-08-27 |
| 1184824203 | Cowlitz Family Health Center | Clinic/Center | 1057 12th Ave, Longview, WA 98632-2509 | 2007-07-18 |
| 1700086824 | Cowlitz Family Health Center | Clinic/Center | 1057 12th Ave, Longview, WA 98632-2509 | 2007-07-18 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.