LONGVIEW CARE CLINIC
NPI 1043209919
Clinic/Center - Federally Qualified Health Center (FQHC) in Longview, TX

Q: What is Special Health Resources For Texas, Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since October 13, 2005CLIA 45D1012651 · Waiver

409 N 6TH ST, LONGVIEW, TX 75601(903) 501-1747(903) 758-2283 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 20, 2024, Aug 13, 2024, Jun 22, 2023 (3 updates tracked since 2023).

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About Longview Care Clinic NPPES

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

LONGVIEW CARE CLINIC (NPI 1043209919) is a healthcare organization registered as a federally qualified health center (fqhc) in Longview, Texas and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Shaun'ta Whitehead, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043209919

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED

Location Address409 N 6TH STLongview, TX 75601-6536

Mailing AddressPo Box 2709Longview, TX 75606-2709 · (903) 234-0776 · Fax (903) 234-9769

Phone(903) 501-1747

Fax(903) 758-2283

Organization SubpartNo

Authorized OfficialShaun'ta WhiteheadExecutive Director · (903) 234-0776

Enumeration DateOctober 13, 2005

Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1043209919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code261QF0400X

Also ListedClinic/CenterTaxonomy 261Q00000X

409 N 6TH ST, Longview, TX 75601

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Other Names 1

Doing Business AsLongview Care Clinic

Other Identifiers 1

Medicaid0848160-01TX

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 45D1012651

Special Health Resources For Texas Inc · Longview, TX

Active · expires May 18, 2027

CLIA Number45D1012651

Laboratory TypeOther

Certificate Effective DateMay 19, 2025

Certificate Expiration DateMay 18, 2027

Laboratory DirectorKim Nesvig

Laboratory Phone(903) 234-8808

Laboratory LocationSpecial Health Resources For Texas Inc409 N 6th Street, Longview, TX 75601

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 7

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

MR. ROBERT CLIFFORD HALL PT

Physical Therapist