Ancor Health Center, PA – Specialist in Longview, TX

Key facts

NPI: 1992887384
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
Legal business name: ANCOR HEALTH CENTER, PA
Practice address: 818 N 4TH St
Longview, TX 75601-5433
Phone: (903) 236-8600
Fax: (903) 236-7493
NPI assigned: Oct 19, 2006
Organization subpart: Yes
Parent organization (as reported): ANCOR HEALTH CENTER PA

Authorized official

Name: Earlene Cook
Title: Practice Manager
Phone: (903) 985-8110

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Udeme Ekpenyong, MD Pediatrics Physician · Longview, TX · NPI 1407086333

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
45D1032099	Ancor Health Center PA 818 N 4TH St, Longview, TX 75601	Certificate of waiver	Nov 5, 2026

National Provider Directory

Part of: Ancor Health Center PA

Locations

724 US Highway 259 N
#100
Kilgore, TX 75662

724 US Highway 259 N
Kilgore, TX 75662

726 US Highway 259 N
Kilgore, TX 75662
Phone (903) 984-5522

818 N 4th St
Longview, TX 75601
Phone (903) 236-8600

1205 N 6th St
Longview, TX 75601
Phone (903) 230-0235

2304 Judson Rd
Ste D
Longview, TX 75605
Phone (903) 212-6060

703 E Marshall Ave
Ste 3007
Longview, TX 75601
Phone (903) 236-8600

221 E End Blvd N
Ste B
Marshall, TX 75670

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	174400000X			Yes

Addresses

Primary practice location

818 N 4TH St
Longview, TX 75601-5433

Mailing address

818 N 4TH St
Longview, TX 75601-5433
Phone (903) 236-8600

Other identifiers

Identifier	Type	State
166395704	Medicaid	TX
166395702	Medicaid	TX
166395701	Medicaid	TX

Other providers in Longview, TX

All providers in Longview, TX · Specialist in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
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.

Verify at the official NPI Registry.