LONGVIEW WELLNESS CENTER, INC (NPI# 1982837829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982837829 |
| Entity Type | Organization |
| Organization Name | LONGVIEW WELLNESS CENTER, INC |
| Other Organization Name | WELLNESS POINTE |
| Practice Address |
1711 S. Henderson Blvd. Ste. 400 Kilgore TX 75662-3563 |
| 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 | 2009-08-26 |
| Last Update Date | 2014-08-04 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
1711 S. HENDERSON BLVD. STE. 400 |
| City | KILGORE |
| State | TX |
| Zip Code | 75662-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890621 | Linda Gail Watson | Technician | 190 Glendale St, Kilgore, TX 75662 | 2019-09-18 |
| 1174185151 | Jennifer Darlene Franks | Registered Nurse | 6144 Gateway Center Pmb # 320, Kilgore, TX 75662 | 2019-07-01 |
| 1215363312 | Kilgore Integrated Health Pllc | Chiropractor | 726 Us Highway 259 N, Kilgore, TX 75662 | 2013-09-20 |
| 1407172240 | Jeffrey Alan Davis | Specialist/Technologist | 300 N. Kilgore Street, Kilgore, TX 75662 | 2010-04-19 |
| 1396923777 | Rachel Thunder Rose Wyatt | Physical Therapist | 1200 Dudley Road, Kilgore, TX 75662 | 2008-02-07 |
| 1346313673 | Brookshire Grocery Company | Pharmacy | 747 Hwy 259 North, Attention Pharmacy Dept, Kilgore, TX 75662 | 2006-11-16 |
| 1417026451 | Jeffery John Pinkerton | Optometrist | 800 Highway 259 North, Kilgore, TX 75662 | 2006-11-06 |
| 1831205004 | Joseph Claude De Graffenried Jr. | Dentist | 238 Lawrence St, Kilgore, TX 75662 | 2006-08-21 |
| 1235159500 | Charles Robert Cottier | Chiropractor | 316 Henderson, Kilgome, TX 75662 | 2006-07-20 |
| 1346509494 | Kelton Hospice, Inc. | Hospice Care, Community Based | 1100 Stone Road, Suite 269, Kilgore, TX 75662 | 2012-05-10 |
| Find all providers in zip 75662 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.