Longview Medical Center LP
Organization Active NPI General Acute Care Hospital · Longview, TX
NPI 1528026267 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1528026267
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 000525 (TX)
- Legal business name
- LONGVIEW MEDICAL CENTER LP
- Practice address
- 2901 N 4TH St
Longview, TX 75605-5128 - Phone
- (903) 758-1818
- Fax
- (903) 758-5167
- NPI assigned
- May 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Paula Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 4
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 120
Practitioners 35
-
Joseph W. Bell, MD
-
Eric Chen, M.D.
-
Donna Davis, MD
-
Austin Deschner, M.D.
-
Udeme Ekpenyong, MD
-
Glenn Genovese, MD
-
Alana Hahn, D.O.
-
Michael R Hudson, MD
-
Christopher E Ihionkhan, M.D.
-
David Jayakar, M.D.
-
Jeffrey Russell Kemp, M.D.
-
Linda K Knox, M.D.
-
Paul L Lin, MD
-
Darvy Lee Mann, MD
-
Vanessa Renee Neiman, M.D.
-
Charles Newlin, MD
-
Anita R Scribner, MD
-
Jeffrey Michael Shea, M.D.
-
Hong-I Shen, M.D.
-
John Shum, MD
Affiliated clinicians 329
-
Cinthia Acevedo, AGACNP
-
Jose Guillermo Acevedo, M.D.
-
Gena Allen, CRNA
-
Francis Amede, MD
-
Roger Seth Baker, MD
-
Brett Eric Barker, M.D.
-
Martha Barr, FNP-C
-
Douglas Barron, D.O.
-
Gautam Baskaran, MD
-
Catrina Beard, CRNA-MSN
-
Deborah K Bell, NP
-
Joseph W. Bell, MD
-
Kenneth Amir Benson, M.D.
-
Jamie Renae Blackmon, FNP-C
-
Mallory Ladonna Bledsoe, CRNA
-
Matthew Boles, DO
-
Kyle Brandon, MD
-
Devin F Brecheen, PA
Medicare Care Compare: Hospital
- Listed as
- Longview Regional Medical Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Hospital certification: CCN 450702
- Legal name
- LONGVIEW MEDICAL CENTER LP
- Doing business as
- LONGVIEW REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jun 19, 1980
- Last certification
- Mar 21, 2023
- Beds
- 230 (170 certified)
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Feb 1, 1999 (1 total)
- Organization structure
- Partnership · Proprietary
- Enrollment address
- 2901 4TH St
Longview, TX 75605-5128 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin J Hammons |
Corporate Officer |
Feb 27, 2012 | |
| Corporate Director |
Jan 1, 2020 | ||
| Longview Merger LLC |
5% Or Greater Indirect Ownership Interest | May 11, 1999 | 100% |
| Longview Clinic Operations Company LLC |
Limited Partnership Interest | Mar 5, 2012 | 18% |
| Nathaniel K Summar |
Corporate Director |
Jul 15, 2017 | |
| Justin D Pitt |
Corporate Officer |
Mar 1, 2022 | |
| Corporate Director |
Mar 1, 2022 | ||
| William Bradley Cash |
Corporate Officer |
Jun 1, 2018 | |
| Hma-Tri Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Community Health Systems Inc |
5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
| Regional Hospital of Longview LLC |
General Partnership Interest | Feb 10, 2006 | 1% |
| Operational/Managerial Control | May 11, 1999 | 100% | |
| Jason Kevin Johnson |
Corporate Officer |
Jan 6, 2020 | |
| Roman Gabriel Ottinger |
Corporate Officer |
Jan 6, 2020 | |
| Christopher Stephen Gordon |
W-2 Managing Employee |
Mar 28, 2021 | |
| LRH, LLC |
Limited Partnership Interest | Mar 5, 2012 | 81% |
| Paula M Lalor |
Corporate Director |
Apr 1, 2017 | |
| Triad Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Tennyson Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2006 | 100% |
| Edna S Buffington-Price |
Corporate Director |
Mar 1, 2022 | |
| Christopher G Cobb |
Corporate Officer |
Apr 1, 2017 | |
| CHS Community Health Systems Inc |
5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040505001835 | TX | Part B Supplier - Clinic/Group Practice | 2961490966 |
Receives reassigned benefits from 49 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kilgore, TX; Longview, TX |
| O20060210000082 | TX | Part a Provider - Hospital | 2961490966 | Practice locations: Longview, TX |
National Provider Directory
- Tax ID family
- Longview Medical Center LP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Speech/Language/Hearing Specialist/Technologist |
235500000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| General Acute Care Hospital | 282N00000X | 000525 | TX | Yes |
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
2901 N 4TH St
Longview, TX 75605-5128
Mailing address
PO Box 848144
Dallas, TX 75284-8144
Phone (903) 758-1818
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025279301 | Medicaid | TX | |
| 110839102 | Medicaid | TX | |
| 161798701 | Medicaid | TX | |
| 147033802 | Medicaid | TN | |
| 110839103 | Medicaid | TX | |
| 161801901 | Medicaid | TX |
Other names
- Longview Regional Medical Center
Other providers in Longview, TX
- Longview Internal Medicine Physicians PLLC
- Longview Internal Medicine PLLC
- Longview Isd
- Longview Medical Center LP
- Longview Medical Center LP
- Longview Medical Center LP
- Longview Medical Center LP
- Longview Ophthalmology Associates, PLLC
- Longview Orthopaedic Clinic Association
- Longview Outpatient Physical Therapy LLC
All providers in Longview, TX · General Acute Care Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.