# LONGVIEW REGIONAL MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467682567
- **Authorized official:** MR. JUSTIN LEE KLEIN R.D, L.D (CLINICAL DIETITIAN)
- **Authorized official phone:** (903) 233-4771

## Contact information

- **Practice address:** 2901 N 4TH ST, LONGVIEW, TX 75605-5128
- **Practice address phone:** (903) 233-4771
- **Practice address fax:** (903) 242-3333
- **Mailing address:** 2901 N 4TH ST, LONGVIEW, TX 75605-5128
- **Mailing address phone:** (903) 233-4771
- **Mailing address fax:** (903) 242-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | DT81095 | TX | Yes |

## Other

- **Enumeration date:** 07/23/2009
- **Last updated:** 07/23/2009