LONGVIEW WELLNESS CENTER INC NPI 1558957662

NPI Information

  • NPI: 1558957662
  • Provider Name: LONGVIEW WELLNESS CENTER INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • :
  • CLIA Number: 45D2206093
  • Address: 825 MEDICAL DR
    TYLER, TX
    ZIP 75701
  • Phone: (903) 758-2610

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NPI Details

LONGVIEW WELLNESS CENTER INC is a federally qualified health center (fqhc) clinic center in Tyler, TX. LONGVIEW WELLNESS CENTER INC NPI is 1558957662. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

825 MEDICAL DR
TYLER, TX
ZIP 75701-143
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 45D2206093 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2020 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
3171M00000XCase Manager/Care CoordinatorNo
4261QP2300XClinic/CenterPrimary CareNo
5207Q00000XFamily MedicineNo
6261QA0005XClinic/CenterAmbulatory Family Planning FacilityNo
7101YM0800XCounselorMental HealthNo
8261QM1300XClinic/CenterMulti-SpecialtyNo
9208D00000XGeneral PracticeNo
101041C0700XSocial WorkerClinicalNo
11207V00000XObstetrics & GynecologyNo
12101YP2500XCounselorProfessionalNo
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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