SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED (NPI# 1740783620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740783620 |
| Entity Type | Organization |
| Organization Name | SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED |
| Other Organization Name | INTEGRATED CARE CLINIC |
| Practice Address |
1300 N 6th St Longview TX 75601-5567 |
| Mailing Address |
Po Box 2709 Longview TX 75606-2709 |
| Practice Telephone | 9032321785 |
| Practice Fax Number | 9032321782 |
| Mailing Telephone | 9032340776 |
| Mailing Fax Number | 9032349769 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Authorized Official Name | KIM DALE NESVIG (CEO) |
| Authorized Official Telephone | 9032340776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| INTEGRATED CARE CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103285 | Special Health Resources for Texas, Incorporated | Clinic/Center | 4519 Troup Hwy, Tyler, TX 75703-2350 | 2018-08-09 |
| 1518469527 | Special Health Resources for Texas, Incorporated | Clinic/Center | 1011 College Street, Jacksonville, TX 75766-3307 | 2018-03-06 |
| 1184113466 | Special Health Resources for Texas, Incorporated | Internal Medicine | 300 E 6th St, Texarkana, AR 71854 | 2018-05-02 |
| 1346791258 | Special Health Resources for Texas, Incorporated | Clinic/Center | 3150 Clarksville St, Paris, TX 75460-8076 | 2016-10-17 |
| Street Address |
1300 N 6TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760543482 | James Gregory Harold | Psychiatry & Neurology | 1300 N 6th St, Longview, TX 75601-5567 | 2006-12-13 |
| 1134726839 | Tommy Chambers | Counselor | 1300 N 6th St, Longview, TX 75601-5567 | 2020-10-06 |
| 1013528884 | Jean Davi Pellegalle | Nurse Practitioner | 1300 N 6th St, Longview, TX 75601-5567 | 2020-08-13 |
| 1386278265 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1300 N 6th St, Longview, TX 75601-5567 | 2020-02-28 |
| 1376189308 | Keith Allen Kirbow | Nurse Practitioner | 1300 N 6th St, Longview, TX 75601-5567 | 2019-11-25 |
| 1588205637 | Ryan Scott Oakley | Counselor | 1300 N 6th St, Longview, TX 75601-5567 | 2019-09-30 |
| 1831673789 | Taylor Richardson | Physician Assistant | 1300 N 6th St, Longview, TX 75601-5567 | 2018-09-17 |
| 1902392871 | Jeremiah R Sanders | Nurse Practitioner | 1300 N 6th St, Longview, TX 75601-5567 | 2018-07-03 |
| 1437674611 | Denver Elaine Dykes | Counselor | 1300 N 6th St, Longview, TX 75604 | 2017-08-08 |
| 1568990372 | Rachel Ann Harrington | Counselor | 1300 N 6th St, Longview, TX 75601-5567 | 2017-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| 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 |
| 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 |
| 1073711081 | Cowlitz Family Health Center | Clinic/Center | 1057 12th Ave, Longview, WA 98632-2509 | 2007-07-11 |
| 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.