| Community Healthcore | |
|
701 E Marshall Ave Suite 310 Longview TX 75601-5659 | |
| (903) 234-9200 | |
| (903) 232-1590 |
| Full Name | Community Healthcore |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 701 E Marshall Ave, Longview, Texas |
| Authorized Official Name and Position | Marilyn Sue Rathbun (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9032372317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthcore Po Box 6800 Longview TX 75608-6800 Ph: (903) 758-2471 | Community Healthcore 701 E Marshall Ave Suite 310 Longview TX 75601-5659 Ph: (903) 234-9200 |
| NPI Number | 1235598806 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235598806 | NPI | - | NPPES |
| 1568788107 | Medicaid | TX | |
| 1639232002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Kimberly Clough Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Tristan Ln, Longview, TX 75604 Phone: 903-918-6574 Fax: 903-704-0980 | |
Heather R. Mcconnell, M.a., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 423, Longview, TX 75604 Phone: 903-759-2402 Fax: 903-759-2570 | |
Jonathan C. Lockhart, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 111, Longview, TX 75604 Phone: 903-295-8994 Fax: 903-295-8987 | |
Core Health Systems Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1300 N 6th St # A, Longview, TX 75601 Phone: 903-232-8928 Fax: 903-918-1813 | |
Willem H. Fahrenbruck, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3122 Nealy Way Ste 201, Longview, TX 75605 Phone: 903-452-8040 | |
Diversified Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 W Fairmont St, Suite C, Longview, TX 75604 Phone: 903-238-9553 Fax: 903-291-8709 | |
7872 Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 615 Clinic Dr, Longview, TX 75605 Phone: 903-212-3105 |