CORE HEALTH SYSTEMS - NPI 1033891148 - Clinic/Center in Longview, TX

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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About Core Health Systems NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORE HEALTH SYSTEMS (NPI 1033891148) is a healthcare organization registered as a federally qualified health center (fqhc) in Longview, Texas and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Rosemary O Villarreal, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1033891148

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCORE HEALTH SYSTEMS

Location Address1300 N 6TH STLongview, TX 75601-5567

Mailing Address107 Woodbine PlLongview, TX 75601-2912 · (903) 758-2471 · Fax (903) 234-1639

Phone(903) 232-8928

Fax(903) 918-1813

Organization SubpartNo

Authorized OfficialRosemary O VillarrealCredentialing Specialist · (903) 234-4226

Enumeration DateAugust 7, 2023

Last NPPES UpdateJune 12, 20253 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1033891148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

1300 N 6TH ST, Longview, TX 75601

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2305196

Core Health Systems · Longview, TX

Active · expires May 27, 2028

CLIA Number45D2305196

Laboratory TypeCommunity Clinic

Certificate Effective DateMay 28, 2026

Certificate Expiration DateMay 27, 2028

Laboratory DirectorJeffrey G. Mcwilliams

Laboratory Phone(903) 758-2471

Laboratory LocationCore Health Systems107 Woodbine Place, Longview, TX 75601

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSSELL SCOTT MONTGOMERY LPC

Counselor (Professional)