LONGVIEW WELLNESS CENTER INC NPI 1093470221

NPI Information

  • NPI: 1093470221
  • Provider Name: LONGVIEW WELLNESS CENTER INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • :
  • CLIA Number: 45D1005845
  • Address: 1001 W FAIRMONT ST
    LONGVIEW, TX
    ZIP 75604
  • Phone: (903) 758-2610

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NPI Details

LONGVIEW WELLNESS CENTER INC is a federally qualified health center (fqhc) clinic center in Longview, TX. LONGVIEW WELLNESS CENTER INC NPI is 1093470221. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1001 W FAIRMONT ST
LONGVIEW, TX
ZIP 75604-511
Phone: (903) 758-2610
Fax: (903) 758-7081

The provider's authorized official is Timothy Chad Jones .
The authorized official title is Ceo and has the following contact phone number (903) 758-2610.

The CLIA number assigned to this NPI record is 45D1005845 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2021 and was last updated on 11/13/2025.

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
1208000000XPediatricsNo
2251B00000XCase ManagementNo
3101YM0800XCounselorMental HealthNo
4261QP2300XClinic/CenterPrimary CareNo
5261QM1300XClinic/CenterMulti-SpecialtyNo
6208D00000XGeneral PracticeNo
71041C0700XSocial WorkerClinicalNo
8207V00000XObstetrics & GynecologyNo
9101YP2500XCounselorProfessionalNo
10261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
11207Q00000XFamily MedicineNo
12261QA0005XClinic/CenterAmbulatory Family Planning FacilityNo
13261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 11/21/2025

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