TEXAS SPINE & JOINT HOSPITAL LONGVIEW CLINIC (NPI# 1619274776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619274776 |
| Entity Type | Organization |
| Organization Name | TEXAS SPINE & JOINT HOSPITAL LONGVIEW CLINIC |
| Practice Address |
725 N 4th St Longview TX 75601-5412 |
| Practice Telephone | 9035253422 |
| Practice Fax Number | 9035253397 |
| Mailing Telephone | 9035253422 |
| Mailing Fax Number | 9035253397 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | Y |
| Parent Organization Name | TEXAS SPINE & JOINT HOSPITAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 162459502 | 05 | |
| TX | BCBS | HH1021 | 01 |
| TX | 162459501 | 05 |
| Street Address |
725 N 4TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194083352 | Aaron K Calodney M.d., P.a. | Anesthesiology | 725 N 4th St, Longview, TX 75601-5412 | 2012-04-25 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346206786 | Isn Sleep Center of East Texas, LLC | Clinic/Center | 109 W Hoyt Dr, Longview, TX 75601-3614 | 2006-04-25 |
| 1043209919 | Special Health Resources for Texas, Inc | Clinic/Center | 410 N 4th St, Longview, TX 75601-6511 | 2005-10-13 |
| 1487206900 | Etx Chiropractic, Inc | Clinic/Center | 1121 Evergreen St, Longview, TX 75604-2130 | 2019-07-15 |
| 1164930905 | Ideal Option, Pllc | Clinic/Center | 1004 Fir St, Longview, WA 98632-2527 | 2018-01-15 |
| 1932567161 | Spine and Whiplash Center, Inc. | Clinic/Center | 1552 Broadway St, Longview, WA 98632-3716 | 2016-02-02 |
| 1184019184 | Kidspace Therapy, LLC | Clinic/Center | 2145 Tibbetts Dr Ste A, Longview, WA 98632-4211 | 2015-04-06 |
| 1043515091 | Family Focus Wellness Center | Clinic/Center | 101b Woodbine Pl, Longview, TX 75601-2912 | 2011-01-24 |
| 1891012316 | Providence Health & Services - Oregon | Clinic/Center | 625 9th Ave, Suite 120, Longview, WA 98632-2465 | 2010-04-23 |
| 1891010310 | Healthcare Express, LLP | Clinic/Center | 1509 W Loop 281, Longview, TX 75604-2820 | 2010-03-29 |
| 1558684944 | Phynet, Inc | Clinic/Center | 4002 Technology Ctr, Longview, TX 75605-2697 | 2010-03-12 |
| 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.