LONGVIEW WELLNESS CENTER, INC. (NPI# 1336788355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336788355 |
| Entity Type | Organization |
| Organization Name | LONGVIEW WELLNESS CENTER, INC. |
| Other Organization Name | WELLNESS POINTE |
| Practice Address |
705 E Marshall Ave Ste 3000 Longview TX 75601-5661 |
| Mailing Address |
Po Box 3647 Longview TX 75606-3647 |
| Practice Telephone | 9037582610 |
| Mailing Telephone | 9032124771 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | MRS. TAMIKO ROCHELL RICHARDSON (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Telephone | 9032124771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| 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 |
|---|---|---|---|---|
| 1710515630 | Longview Wellness Center, Inc. | Clinic/Center | 1901 Mulberry Ave Ste A, Mount Pleasant, TX 75455-2369 | 2020-03-27 |
| 1982057881 | Longview Wellness Center, Inc. | Clinic/Center | 1300 N 6th St Ste A, Longview, TX 75601-5567 | 2016-07-15 |
| 1770122681 | Longview Wellness Center, Inc. | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-12-26 |
| 1821633033 | Longview Wellness Center, Inc. | Clinic/Center | 2015 Mulberry Ave Ste 250, Mt Pleasant, TX 75455-2927 | 2019-11-12 |
| Street Address |
705 E MARSHALL AVE STE 3000 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780712257 | Jennifer Boynton | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601 | 2007-02-28 |
| 1770122681 | Longview Wellness Center, Inc. | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-12-26 |
| 1134784838 | Jennifer Nicole Skiles | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-05-08 |
| 1891280277 | Special Health Resources for Texas Incorporated | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-06-27 |
| 1104328947 | Laura Childress | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-03-07 |
| 1356715981 | Gabrielle Misenheimer | Advanced Practice Midwife | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2015-11-19 |
| 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.