Active NPI
Core Health Systems
- Federally Qualified Health Center (FQHC)
- Texarkana, TX
National Provider Identifier
1144902602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CORE HEALTH SYSTEMS
- Practice address
- 2435 College Dr
Texarkana, TX 75501-2788 - Phone
- (903) 255-1240
- Fax
- (903) 831-7740
- NPI assigned
- Aug 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosemary O Villarreal, PESC
- Title
- Credentialing Specialist
- Phone
- (903) 234-4226
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| General Practice Physician | 208D00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
2435 College Dr
Texarkana, TX 75501-2788
Mailing address
107 Woodbine PL
Longview, TX 75601-2912
Phone (903) 758-2471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
Federally qualified health center certification: CCN 971062
- Legal name
- CORE HEALTH SYSTEMS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 14, 2025
- Last certification
- Mar 14, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Other
- Enrollment address
- 2435 College Dr
Texarkana, TX 75501-2788
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Federally Qualified Health Center (FQHC)
- Texarkana, TX
- NPI 1396427852
9234599424
-
- Federally Qualified Health Center (FQHC)
- Clarksville, TX
- NPI 1407553886
9234599424
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Marty Jordan | Other | Mar 24, 2023 | |
| Linda Hooks | Other | May 7, 2023 | |
| Sharon Leffall | Other | Mar 24, 2023 | |
| Rosemary O Villarreal | W-2 Managing Employee | Feb 1, 2025 | |
| Willie P Leffall | Other | Sep 1, 2023 | |
| Arturo Morales | Other | Mar 24, 2023 | |
| Dawn Parker | Other | Jun 16, 2023 | |
| Richard Lively | Other | Sep 1, 2024 | |
| Jesse Mitchell | Other | Sep 1, 2024 | |
| Hope Sellers | Other | Mar 24, 2023 | |
| Jill Smith | Other | Sep 1, 2023 | |
| Shirley a Baker | Other | Sep 1, 2023 | |
| Leldon Williamson | Other | Sep 1, 2024 | |
| Sidney Burns | Other | Sep 1, 2024 | |
| Johnwayne Valdez | Other | Oct 24, 2024 | |
| Kelly Crane | Other | Sep 1, 2024 | |
| Steven Wayne Archer | W-2 Managing Employee | Feb 1, 2025 | |
| Larry Webb | Other | Sep 1, 2024 | |
| Henryett Porter | Other | Mar 24, 2023 | |
| Margie Smith-Whitten | Other | Sep 1, 2023 | |
| Jami Duran | Other | Sep 1, 2023 | |
| Wendy Bergeron | Other | Oct 20, 2023 |
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Clarksville, TX
- NPI 1912914151
-
- Family Nurse Practitioner
- Longview, TX
- NPI 1376189308
-
- Emergency Medicine Physician
- Longview, TX
- NPI 1104037639
General Practice
-
- Family Nurse Practitioner
- Longview, TX
- NPI 1013528884
-
- Physician Assistant
- Kilgore, TX
- NPI 1861484370
-
- Family Nurse Practitioner
- Longview, TX
- NPI 1780239376
-
- Family Nurse Practitioner
- Longview, TX
- NPI 1477280014
-
- Psychiatric/Mental Health Nurse Practitioner
- Longview, TX
- NPI 1841625308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1144902602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WOODBINE PL",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756012912",
"telephone_number": "903-758-2471",
"fax_number": "903-234-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 COLLEGE DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755012788",
"telephone_number": "903-255-1240",
"fax_number": "903-831-7740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE HEALTH SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-03",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "VILLARREAL",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "903-234-4226",
"authorized_official_credential": "PESC"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.