ANCOR HEALTH CENTER, PA (NPI# 1992887384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992887384 |
| Entity Type | Organization |
| Organization Name | ANCOR HEALTH CENTER, PA |
| Practice Address |
818 N 4th St Longview TX 75601-5433 |
| Practice Telephone | 9032368600 |
| Practice Fax Number | 9032367493 |
| Mailing Telephone | 9032368600 |
| Mailing Fax Number | 9032367493 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-11-08 |
| Authorized Official Name | EARLENE COOK (PRACTICE MANAGER) |
| Authorized Official Telephone | 9039858110 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANCOR HEALTH CENTER PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 166395701 | 05 | |
| TX | 166395704 | 05 | |
| TX | 166395702 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952946428 | Ancor Health Center, Pa | Specialist | 2304 Judson Rd Ste D, Longview, TX 75605-4675 | 2019-11-08 |
| Street Address |
818 N 4TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043284375 | Suzanne M Gomez-diaz | Pediatrics | 818 N 4th St, Longview, TX 95601 | 2006-02-14 |
| 1265062095 | Shelby Lile | Family Medicine | 818 N 4th St, Longview, TX 75601-5433 | 2020-01-21 |
| 1780239376 | Vikki Thomas | Nurse Practitioner | 818 N 4th St, Longview, TX 75601 | 2019-08-09 |
| 1386003036 | Evelyn L Green | Clinic/Center | 818 N 4th St, Longview, TX 75601-5433 | 2016-02-22 |
| 1962807677 | Myles Adamson | Nurse Practitioner | 818 N 4th St, Longview, TX 75601-5433 | 2014-10-24 |
| 1407175987 | Matthew Phillip Compton | Pediatrics | 818 N 4th St, Longview, TX 75601 | 2010-05-24 |
| 1215989710 | Elisa Lynn Berry | Nurse Practitioner | 818 N 4th St, Longview, TX 75601 | 2006-05-16 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633650 | Joshua St.germain | Specialist | 404 Quail Ln, Longview, WA 98632-9278 | 2016-07-14 |
| 1750753513 | Elle's Essential Massage | Specialist | 803 Vandercook Way, Ste 2, Longview, WA 98632-4057 | 2015-10-20 |
| 1013276906 | Ellen A Rochon | Specialist | 820 Ocean Beach Hwy Ste 116, Longview, WA 98632-4081 | 2012-05-11 |
| 1134490667 | Mason Minton | Specialist | 1151 Commerce Ave, Longview, WA 98632-3024 | 2012-01-13 |
| 1356644009 | Katherine Rose Beaton | Specialist | 1815 Hudson Street, Longview, WA 98632 | 2010-12-17 |
| 1942510524 | Delanie Marie Crawford | Specialist | 1146 Commerce, Longview, WA 98632 | 2010-10-15 |
| 1972709889 | Rufus Dwayne Bowie IIi | Specialist | 2323 Armond Dr, Longview, TX 75602-3625 | 2007-06-26 |
| 1245432384 | Carolyn L O'brien | Specialist | 3318 Virgina Way, Longview, WA 98632 | 2007-06-01 |
| 1083834410 | Pavel Maslennikov | Specialist | 1151 Commerce Ave., Longview, WA 98632 | 2007-04-26 |
| 1871711267 | East Texas Allergy & Asthma Associates | Specialist | 1009 N 4th St Ste A, Longview, TX 75601-4768 | 2007-04-23 |
| 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.