Organization
LONGVIEW MEDICAL CENTER LP
Active
Other names
Longview Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
2901 N 4TH ST, LONGVIEW, TX 75605-5128
(903) 758-1818
(903) 758-5167
Mailing address
PO BOX 848144, DALLAS, TX 75284-8144
(903) 758-1818
(903) 758-5167
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
000525
TX
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025279301
—
TX
05
—
110839102
—
TX
05
—
110839103
—
TX
05
—
147033802
—
TN
05
—
161798701
—
TX
05
—
161801901
—
TX
Enumeration date
05/03/2006
Last updated
08/27/2024
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