| Integrated Care Clinic | |
|
1300 N 6th St Longview TX 75601-5567 | |
| (903) 232-1785 | |
| (903) 232-1782 |
| Full Name | Integrated Care Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1300 N 6th St, Longview, Texas |
| Authorized Official Name and Position | Kim Dale Nesvig (CEO) |
| Authorized Official Contact | 9032340776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Care Clinic Po Box 2709 Longview TX 75606-2709 Ph: (903) 234-0776 | Integrated Care Clinic 1300 N 6th St Longview TX 75601-5567 Ph: (903) 232-1785 |
| NPI Number | 1740783620 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 03/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740783620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
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