LONGVIEW WELLNESS CENTER, INC.


Address: 1901 Mulberry Ave Ste A, Mount Pleasant, TX 75455-2369
Phone: 9037582610

LONGVIEW WELLNESS CENTER, INC. (NPI# 1710515630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710515630
Entity Type Organization
Organization Name LONGVIEW WELLNESS CENTER, INC.
Other Organization Name WELLNESS POINTE
Practice Address 1901 Mulberry Ave Ste A
Mount Pleasant
TX 75455-2369
Mailing Address 1107 E Marshall Ave
Longview
TX 75601-5602
Practice Telephone 9037582610
Practice Fax Number 9032127689
Mailing Telephone 9037582610
Mailing Fax Number 9032127689
Enumeration Date 2020-03-27
Last Update Date 2020-04-02
Authorized Official Name KRYSTAL KELLI FETTING (CREDENTIALING COORDINATOR)
Authorized Official Telephone 9032124763
Authorized Official Credential MBA-HCM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Wellness Pointe Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982057881 Longview Wellness Center, Inc. Clinic/Center 1300 N 6th St Ste A, Longview, TX 75601-5567 2016-07-15
1770122681 Longview Wellness Center, Inc. Clinic/Center 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 2019-12-26
1336788355 Longview Wellness Center, Inc. Obstetrics & Gynecology 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 2019-12-23
1821633033 Longview Wellness Center, Inc. Clinic/Center 2015 Mulberry Ave Ste 250, Mt Pleasant, TX 75455-2927 2019-11-12

Office Location

Street Address 1901 MULBERRY AVE STE A
City MOUNT PLEASANT
State TX
Zip Code 75455-2369

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801351242 Dan P Mccauley Dds Pa Dentist 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 2019-02-08
1427565282 Thelma Louise Frazier Registered Nurse 2610 Greenhill Rd, Mount Pleasant, TX 75455 2018-01-02
1750812921 Titus County Hospital District Clinic/Center 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 2017-03-21
1003367780 Valerie Ann Snyder Nurse Practitioner 203 W 20th St Ste C, Mt Pleasant, TX 75455 2016-10-18
1417316803 Gaurav Narang Dentist 1401 S. Jefferson Blvd., 4, Mount Pleasant, NV 75455 2016-02-15
1366828972 The Lodge Assisted Living/memory Care Assisted Living Facility 1880 W 16th St, Mt Pleasant, TX 75455 2015-08-05
1740665413 Megan Nye Chiropractor 1318 South Jefferson, Mount Pleasant, TX 75455 2015-07-23
1407277239 Northeast Texas Community College Dental Hygiene Clinic Dentist 2886 Fm 1735, Chapel Hill Road, Mt. Pleasant, TX 75455 2013-12-20
1588917694 Titus County Hospital District Clinic/Center 1610 S Jefferson Ave, Mount Pleasant, TX 75455 2012-10-26
1760792030 Kay Madelon Harmon Occupational Therapist 2003 N. Edwards, Plesant Springs Healthcare Center, Mt. Plesant, TX 75455 2010-10-20
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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Competitor

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City MOUNT PLEASANT
Zip Code 75455

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Dataset Information

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.

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