LONGVIEW WELLNESS CENTER INC NPI 1417779554

NPI Information

  • NPI: 1417779554
  • Provider Name: LONGVIEW WELLNESS CENTER INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 1011 S MOBBERLY AVE
    LONGVIEW, TX
    ZIP 75602
  • 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 1417779554. The provider is registered as an organization entity type.

The provider's business location address is:

1011 S MOBBERLY AVE
LONGVIEW, TX
ZIP 75602-041
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 10/29/2024 and was last updated on 11/14/2025.

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
1261QA0005XClinic/CenterAmbulatory Family Planning FacilityNo
2171M00000XCase Manager/Care CoordinatorNo
3261QP2300XClinic/CenterPrimary CareNo
4208000000XPediatricsNo
5251B00000XCase ManagementNo
6101YM0800XCounselorMental HealthNo
7261QM1300XClinic/CenterMulti-SpecialtyNo
8208D00000XGeneral PracticeNo
91041C0700XSocial WorkerClinicalNo
10207V00000XObstetrics & GynecologyNo
11101YP2500XCounselorProfessionalNo
12261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
13207Q00000XFamily MedicineNo
14261QF0400XClinic/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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