LONGVIEW WELLNESS CENTER, INC (NPI# 1790955847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790955847 |
| Entity Type | Organization |
| Organization Name | LONGVIEW WELLNESS CENTER, INC |
| Other Organization Name | WELLNESS POINTE |
| Practice Address |
602 Titus St. Ste. 130 Gilmer TX 75644-1700 |
| 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 | 2008-03-05 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | TIMOTHY CHAD JONES (CEO) |
| 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 |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 183824501 | 05 |
| 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 |
| 1023426665 | Longview Wellness Center, Inc | Clinic/Center | 2131 S Mobberly Ave, Longview, TX 75602 | 2014-07-28 |
| 1124252341 | Longview Wellness Center, Inc | Case Manager/Care Coordinator | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2009-05-04 |
| 1942269493 | Longview Wellness Center, Inc | Dentist | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2006-03-22 |
| Street Address |
602 TITUS ST. STE. 130 |
| City | GILMER |
| State | TX |
| Zip Code | 75644-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700893039 | Philip Scott Hunter | Family Medicine | 602 Titus St., Suite 130, Gilmer, TX 75644-1700 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124148457 | The Madera Corp | Assisted Living Facility | 1704 North Bradford St, Gilmer, TX 75644 | 2007-03-30 |
| 1225173420 | Eugene Ralston Foster | Family Medicine | 200 N Montgomery, Gilmer, TX 75644 | 2007-02-21 |
| 1700996501 | Jerald Wayne Walton | Dentist | 117 S Montgomery, Gilmer, TX 75644 | 2006-08-30 |
| 1245297365 | Nexion Health At Gilmer Inc | Skilled Nursing Facility | 623 Highway 155 North, Gilmer, TX 75644 | 2006-05-01 |
| 1790765188 | Jimmy Michael Taylor | Dentist | 409 W Tyler St, Gilmer, TX 75644 | 2006-01-20 |
| 1255324646 | Robert Arden Redelspergen Jr. | Pharmacist | East Texas Medical Center - Gilmen, Gilmen, TX 75644 | 2005-08-31 |
| 1770588774 | Gilmer Senior Care Lp | Skilled Nursing Facility | 703 N Titus, Gilmer, TX 75644 | 2005-06-16 |
| 1285637843 | David Warren Buller | Emergency Medicine | 602 N Titus, Suite 120, Gilmer, TX 75644 | 2005-05-27 |
| 1447440789 | Eugene R Foster Md Pa | Family Medicine | 200 N Montgomery, Gilmer, TX 75644 | 2007-08-01 |
| 1679662449 | J M Taylor Dds Inc | Dentist | 409 W Tyler St, Gilmer, TX 75644 | 2006-10-12 |
| Find all providers in zip 75644 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.