<unavail> in Longview, TX - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Longview, Texas. The current practice location for is 1001 W Fairmont St, Longview, Texas. For appointments, you can reach them via phone at (903) 758-2610. The mailing address for is 1107 E Marshall Ave, Longview, Texas and phone number is (903) 758-2610.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093470221. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (903) 758-2610.

Contact Information


	1001 W Fairmont St Longview TX 75604-3511
	(903) 758-2610
	(903) 758-7081

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1001 W Fairmont 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 and Practice Location

Mailing Address	Practice Location Address
1107 E Marshall Ave Longview TX 75601-5602 Ph: (903) 758-2610	1001 W Fairmont St Longview TX 75604-3511 Ph: (903) 758-2610

NPI Details:

NPI Number	1093470221
Provider Enumeration Date	11/02/2021
Last Update Date	01/15/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	1254367766
Medicare Enrollment ID	O20220317000667

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093470221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Longview, TX

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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

- Medicare Primary Care in Longview, TX