LONGVIEW WELLNESS CENTER INC NPI 1629890801

NPI Information

  • NPI: 1629890801
  • Provider Name: LONGVIEW WELLNESS CENTER INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 5745 JUDSON RD
    LONGVIEW, TX
    ZIP 75605
  • 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 1629890801. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5745 JUDSON RD
LONGVIEW, TX
ZIP 75605-084
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
1208000000XPediatricsNo
2251B00000XCase ManagementNo
3101YM0800XCounselorMental HealthNo
4261QM1300XClinic/CenterMulti-SpecialtyNo
5208D00000XGeneral PracticeNo
61041C0700XSocial WorkerClinicalNo
7207V00000XObstetrics & GynecologyNo
8207Q00000XFamily MedicineNo
9261QA0005XClinic/CenterAmbulatory Family Planning FacilityNo
10171M00000XCase Manager/Care CoordinatorNo
11101YP2500XCounselorProfessionalNo
12261QP2300XClinic/CenterPrimary CareNo
13261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
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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