LONGVIEW WELLNESS CENTER INC NPI 1093491243

NPI Information

  • NPI: 1093491243
  • Provider Name: LONGVIEW WELLNESS CENTER INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • :
  • Address: 425 N FREDONIA ST
    LONGVIEW, TX
    ZIP 75601
  • 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 1093491243. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

425 N FREDONIA ST
LONGVIEW, TX
ZIP 75601-464
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 enumeration date for this NPI number is 6/23/2023 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
1261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
2103TC0700XPsychologistClinicalNo
3207Q00000XFamily MedicineNo
4261QA0005XClinic/CenterAmbulatory Family Planning FacilityNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
6261QP2300XClinic/CenterPrimary CareNo
7208000000XPediatricsNo
8251B00000XCase ManagementNo
9101YM0800XCounselorMental HealthNo
10261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
11261QM1300XClinic/CenterMulti-SpecialtyNo
12208D00000XGeneral PracticeNo
13207V00000XObstetrics & GynecologyNo
14101YP2500XCounselorProfessionalNo
15261QF0400XClinic/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

NPI Synchronization or Removal

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