| Longview Wellness Center Inc | |
|
425 N Fredonia St Longview TX 75601-6464 | |
| (903) 758-2610 | |
| (903) 758-7081 |
| Full Name | Longview Wellness Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 425 N Fredonia St, Longview, Texas |
| Authorized Official Name and Position | Timothy Chad Jones (CEO) |
| Authorized Official Contact | 9037582610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longview Wellness Center Inc 1107 E Marshall Ave Longview TX 75601-5602 Ph: (903) 758-2610 | Longview Wellness Center Inc 425 N Fredonia St Longview TX 75601-6464 Ph: (903) 758-2610 |
| NPI Number | 1093491243 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 01/15/2025 |
| Medicare PECOS PAC ID | 1254367766 |
|---|---|
| Medicare Enrollment ID | O20230901002640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093491243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Longview Wellness Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 W Fairmont St, Longview, TX 75604 Phone: 903-758-2610 Fax: 903-758-7081 |