SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED NPI 1043209919

NPI Information

  • NPI: 1043209919
  • Provider Name: SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: LONGVIEW CARE CLINIC
  • Address: 409 N 6TH ST
    LONGVIEW, TX
    ZIP 75601
  • Phone: (903) 501-1747

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NPI Details

SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED is a federally qualified health center (fqhc) clinic center in Longview, TX. SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED NPI is 1043209919. The provider is registered as an organization entity type.
The provider Is Doing Business As Longview Care Clinic.

The provider's business location address is:

409 N 6TH ST
LONGVIEW, TX
ZIP 75601-536
Phone: (903) 501-1747
Fax: (903) 758-2283

The provider's authorized official is Shaun'ta Whitehead .
The authorized official title is Executive Director and has the following contact phone number (903) 234-0776.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 8/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10848160-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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