Longview Wellness Center Inc

A Medicare group practice based in Longview, TX: 28 NPIs enrolled under one PECOS associate control ID (PAC ID 1254367766), with 130 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1254367766The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
18
Group size
22 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
44In 6 places

Enrollment records 18

Enrollment IDStateProvider typeNPI
O20050714001046 TX Part B Supplier - Clinic/Group Practice 1942269493
O20061005000377 TX Part A Provider - Federally Qualified Health Center (FQHC) 1942269493
O20230901002640 TX Part A Provider - Federally Qualified Health Center (FQHC) 1093491243
O20231213002627 TX Part A Provider - Federally Qualified Health Center (FQHC) 1740065473
O20240712001260 TX Part A Provider - Federally Qualified Health Center (FQHC) 1770358582
O20250820002385 TX Part A Provider - Federally Qualified Health Center (FQHC) 1578369922
O20250909003505 TX Part A Provider - Federally Qualified Health Center (FQHC) 1417779554
O20250911001417 TX Part A Provider - Federally Qualified Health Center (FQHC) 1699571091
O20250910003406 TX Part A Provider - Federally Qualified Health Center (FQHC) 1629890801
O20100107000387 TX Part A Provider - Federally Qualified Health Center (FQHC) 1790955847
O20110221000938 TX Part A Provider - Federally Qualified Health Center (FQHC) 1982837829
O20141009000472 TX Part A Provider - Federally Qualified Health Center (FQHC) 1023426665
O20150305000376 TX Part A Provider - Federally Qualified Health Center (FQHC) 1932598752
O20210120002050 TX Part A Provider - Federally Qualified Health Center (FQHC) 1558957662
O20220317000667 TX Part A Provider - Federally Qualified Health Center (FQHC) 1093470221
O20200617001747 TX Part A Provider - Federally Qualified Health Center (FQHC) 1336788355
O20200415000420 TX Part A Provider - Federally Qualified Health Center (FQHC) 1710515630
O20191226002009 TX Part A Provider - Federally Qualified Health Center (FQHC) 1821633033

NPIs in this group 28

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 130

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (130) or whom Care Compare lists as members (22).

Sources for this page