SPECIAL HEALTH RESOURCES FOR TEXAS, INC (NPI# 1043209919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043209919 |
Entity Type | Organization |
Organization Name | SPECIAL HEALTH RESOURCES FOR TEXAS, INC |
Practice Address |
410 N 4th St Longview TX 75601-6511 |
Mailing Address |
Po Box 2709 Longview TX 75606-2709 |
Practice Telephone | 9032340776 |
Practice Fax Number | 9032349769 |
Mailing Telephone | 9032340776 |
Mailing Fax Number | 9032349769 |
Enumeration Date | 2005-10-13 |
Last Update Date | 2014-08-12 |
Authorized Official Name | MR. KIM NESVIG (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9032340776 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 0848160-01 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922556067 | Special Health Resources for Texas, Inc | Clinic/Center | 402 N 7th St, Longview, TX 75601-6704 | 2016-09-19 |
Street Address |
410 N 4TH ST |
City | LONGVIEW |
State | TX |
Zip Code | 75601-6511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942770714 | Tiffany Gayla Clendening | Nurse Practitioner | 410 N 4th St, Longview, TX 75601-6511 | 2018-12-04 |
1356798680 | Joanna Goodwin | Counselor | 410 N 4th St, Longview, TX 75601-6511 | 2016-05-17 |
1003274291 | Sarah Faye Earnest | Nurse Practitioner | 410 N 4th St, Longview, TX 75601-6511 | 2016-02-03 |
1700252566 | Angela Thomas | Counselor | 410 N 4th St, Longview, TX 75601 | 2015-08-17 |
1467828400 | Anna Hamilton | Nurse Practitioner | 410 N 4th St, Longview, TX 75601-6511 | 2015-08-13 |
1821486168 | Maria Dolores Rivera | Counselor | 410 N 4th St, Longview, TX 75601 | 2015-01-08 |
1780987289 | Margaret M Dodson | Nurse Practitioner | 410 N 4th St, Longview, TX 75601-6511 | 2010-12-06 |
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 |
1740783620 | Special Health Resources for Texas, Incorporated | Clinic/Center | 1300 N 6th St, Longview, TX 75601-5567 | 2018-03-16 |
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 |
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.