LONGVIEW WELLNESS CENTER, INC (NPI# 1942269493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942269493 |
| Entity Type | Organization |
| Organization Name | LONGVIEW WELLNESS CENTER, INC |
| Other Organization Name | WELLNESS POINTE |
| Practice Address |
1107 E Marshall Ave Longview TX 75601-5602 |
| Practice Telephone | 9037582610 |
| Practice Fax Number | 9037583124 |
| Mailing Telephone | 9037582610 |
| Mailing Fax Number | 9037583124 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | TIMOTHY CHAD JONES (CEO) |
| Authorized Official Telephone | 9037582610 |
| Is Organization Subpart | Y |
| Parent Organization Name | LONGVIEW WELLNESS CENTER INC DBA WELLNESS POINTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
19170 | TX | Dental Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
11004 | TX | Behavioral Health & Social Service Providers |
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 081382602 | 05 | |
| TX | 111796201 | 05 | |
| TX | 111796203 | 05 | |
| TX | 111796204 | 05 | |
| TX | 183824501 | 05 | |
| TX | 180330601 | 05 | |
| TX | 081382603 | 05 |
| Other Name | Type Code |
|---|---|
| Wellness Pointe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982837829 | Longview Wellness Center, Inc | Clinic/Center | 1711 S. Henderson Blvd., Ste. 400, Kilgore, TX 75662-3563 | 2009-08-26 |
| 1023426665 | Longview Wellness Center, Inc | Clinic/Center | 2131 S Mobberly Ave, Longview, TX 75602 | 2014-07-28 |
| 1124252341 | Longview Wellness Center, Inc | Case Manager/Care Coordinator | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2009-05-04 |
| 1790955847 | Longview Wellness Center, Inc | Clinic/Center | 602 Titus St., Ste. 130, Gilmer, TX 75644-1700 | 2008-03-05 |
| Street Address |
1107 E MARSHALL AVE |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772863 | Mark Allison Little | Optometrist | 1107 E Marshall Ave, Longview, TX 75601 | 2005-07-03 |
| 1780205427 | Kimberly Denise Prince | Nurse Practitioner | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2020-05-05 |
| 1942847868 | Bethany Dawn Walker | Social Worker | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2019-12-10 |
| 1023650082 | Lizeth Garcia | Registered Nurse | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2019-10-11 |
| 1508426727 | Brenda Greer-jennings | Counselor | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2019-06-19 |
| 1659836252 | Beverly Sumners | Counselor | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2019-02-07 |
| 1164993382 | Emili Deane Lim | Counselor | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2018-12-16 |
| 1598241309 | Elizabeth A Shireman | Nurse Practitioner | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2018-07-15 |
| 1205381936 | Christa Oberthier | Counselor | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2016-08-23 |
| 1972966935 | Jeffery Wayne Offutt | Pharmacist | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2016-03-29 |
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|---|---|---|---|---|
| 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.