LONGVIEW WELLNESS CENTER INC NPI 1558957662

NPI Information

NPI: 1558957662
Provider Name: LONGVIEW WELLNESS CENTER INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D2206093

Address:
825 MEDICAL DR STE A
TYLER, TX
ZIP 75701
Phone: (903) 758-2610
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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 multiple single specialty group.

The provider's business location address is:

825 MEDICAL DR STE A
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 12/14/2020.

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
1	207V00000X	Obstetrics & Gynecology				No
2	261QF0400X	Clinic/Center	Federally 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: 11/14/2023

NPI Synchronization or Removal

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