Longview Wellness Center Inc | |
1001 W Fairmont St Longview TX 75604-3511 | |
(903) 758-2610 | |
(903) 758-7081 |
Full Name | Longview Wellness Center Inc |
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Speciality | Clinic/Center |
Location | 1001 W Fairmont St, Longview, Texas |
Authorized Official Name and Position | Terrie Mogavero (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9032124763 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Longview Wellness Center Inc 1107 E Marshall Ave Longview TX 75601-5602 Ph: (903) 758-2610 | Longview Wellness Center Inc 1001 W Fairmont St Longview TX 75604-3511 Ph: (903) 758-2610 |
NPI Number | 1093470221 |
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Provider Enumeration Date | 11/02/2021 |
Last Update Date | 01/05/2024 |
Medicare PECOS PAC ID | 1254367766 |
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Medicare Enrollment ID | O20220317000667 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093470221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Wellness Pointe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2131 S Mobberly Ave, Longview, TX 75602 Phone: 903-758-2610 Fax: 903-758-3124 | |
Special Health Resources For Texas, Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 N 4th St, Longview, TX 75601 Phone: 903-234-0776 Fax: 903-234-9769 | |
Family Focus Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101b Woodbine Pl, Longview, TX 75601 Phone: 903-236-6222 Fax: 903-236-0808 | |
Whole Counseling, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 N Fredonia St Ste 114, Longview, TX 75601 Phone: 720-404-5682 | |
Wellness Pointe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 N Fredonia St, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081 | |
Gail D Stockman Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N 4th St, Suite A, Longview, TX 75601 Phone: 406-253-3430 |