SABINE VALLEY REGIONAL MHMR CENTER (NPI# 1235598806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235598806 |
Entity Type | Organization |
Organization Name | SABINE VALLEY REGIONAL MHMR CENTER |
Other Organization Name | COMMUNITY HEALTHCORE |
Practice Address |
701 E Marshall Ave Suite 310 Longview TX 75601-5659 |
Mailing Address |
Po Box 6800 Longview TX 75608-6800 |
Practice Telephone | 9032349200 |
Practice Fax Number | 9032321590 |
Mailing Telephone | 9037582471 |
Enumeration Date | 2016-02-11 |
Last Update Date | 2016-02-14 |
Authorized Official Name | MARILYN SUE RATHBUN (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 9032372317 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 1639232002 | 05 | |
TX | 1568788107 | 05 |
Other Name | Type Code |
---|---|
Community Healthcore | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750505830 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 303 Evergreen Dr, Longview, TX 75604-1728 | 2007-04-12 |
1285857003 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 112 Cherie Ln, Longview, TX 75604-3274 | 2007-04-10 |
1912120734 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 414 S Center St, Longview, TX 75601-7409 | 2007-04-10 |
1114048956 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 220 Nimitz St, Longview, TX 75602-5377 | 2007-04-02 |
1841311743 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 3704 Terilynn Dr, Longview, TX 75604-1027 | 2007-04-02 |
1841835022 | Sabine Valley Regional Mhmr Center | Family Medicine | 107 Woodbine Pl, Longview, TX 75601-2912 | 2019-11-12 |
1568788107 | Sabine Valley Regional Mhmr Center | Clinic/Center | 107 Woodbine Pl, Longview, TX 75601-2912 | 2010-04-07 |
1992945836 | Sabine Valley Regional Mhmr Center | Home Health | 107 Woodbine Pl, Longview, TX 75601-2912 | 2009-03-05 |
1467676544 | Sabine Valley Regional Mhmr Center | Community Based Residential Treatment Facility, Mental Illness | 107 Woodbine Pl, Longview, TX 75601-2912 | 2007-04-12 |
1376767459 | Sabine Valley Regional Mhmr Center | Community/Behavioral Health | 107 Woodbine Pl, Longview, TX 75601-2912 | 2007-04-12 |
Street Address |
701 E MARSHALL AVE SUITE 310 |
City | LONGVIEW |
State | TX |
Zip Code | 75601-5659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285635409 | Oscar Jack Chastain IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 701 E Marshall Ave, Suite 504, Longview, TX 75601-5659 | 2005-08-10 |
1619414364 | Kurt Bannert | Counselor | 701 E Marshall Ave, Suite #310, Longview, TX 75601-5659 | 2017-01-19 |
1316396682 | Carissa Brooke Gunathilaka | Counselor | 701 E Marshall Ave, Suite 310, Longview, TX 75601-5659 | 2016-06-08 |
1548632516 | Thomas Bell | Nurse Practitioner | 701 E Marshall Ave, Suite 504, Longview, TX 75601-5659 | 2015-10-29 |
1225332562 | Gsps Gastroenterology Pllc | Internal Medicine | 701 E Marshall Ave, Suite 200, Longview, TX 75601-5659 | 2010-12-30 |
1427362300 | Leigh Ann Mahjoobi | Nurse Practitioner | 701 E Marshall Ave, Suite 400, Longview, TX 75601-5659 | 2010-08-03 |
1578899845 | Anna Maria Taylor | Nurse Practitioner | 701 E Marshall Ave, Suite 200, Longview, TX 75601-5659 | 2009-10-21 |
1871778316 | Narasimha Sastry Jatavallabhula | Neuromusculoskeletal Medicine & OMM | 701 E Marshall Ave, Suite 400, Longview, TX 75601-5659 | 2008-01-03 |
1538270202 | Longview Thoracic & Cardiovascular Associates Pllc | Surgery | 701 E Marshall Ave, Ste 504, Longview, TX 75601-5573 | 2006-08-31 |
1316969306 | Tiffany Smith | Physician Assistant | 701 E Marshall Ave, Suite 400, Longview, TX 75601-5659 | 2006-07-25 |
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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 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1639693781 | Core Health | Clinic/Center | 748 14th Ave, Longview, WA 98632-2315 | 2017-07-31 |
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1720695331 | Perspectives Psychotherapies, Pllc | Clinic/Center | 8330 Meadow Rd Ste 200, Dallas, TX 75231-0314 | 2020-09-28 |
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1487263000 | Stay Young Mental Health & Wellness | Clinic/Center | 8209 Roughrider Dr Ste 210, Windcrest, TX 78239-2457 | 2020-07-29 |
1285242305 | Abide Counseling Pllc | Clinic/Center | 505 Church Ave Ste B, College Station, TX 77840-1336 | 2020-07-14 |
1275151912 | Inger Daniels Aprn | Clinic/Center | 1937 Texas Pkwy Ste A, Missouri City, TX 77489-3121 | 2020-07-09 |
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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.