McEt-Longview

Methadone Clinic · Longview, TX

Organization Active NPI

NPI number 1083150569

Practice location

505 North Sixth Street
Longview, TX 75602
Phone
(903) 520-4710

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NPI record

NPI
1083150569
Entity type
Organization (Type 2)
Enumeration date
January 9, 2017
Last updated
January 9, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Methadone Clinic Primary 261QM2800X — TX

Mailing address

P. O. Box 9958
Longview, TX 75608
Phone
(903) 520-4710

Authorized official

Name
Mr. Robert Jacobs
Title
Program Director
Phone
(903) 520-4710

About McEt-Longview

McEt-Longview is a healthcare organization registered in the NPI registry with the primary taxonomy Methadone Clinic (code 261QM2800X). The practice location is 505 North Sixth Street, Longview, TX 75602. The NPI number 1083150569 was assigned on January 9, 2017 and the record was last updated on January 9, 2017.

The authorized official for this organization is Mr. Robert Jacobs, Program Director.

Frequently asked questions

What is the NPI number of McEt-Longview?

The NPI number is 1083150569.

What is the phone number of McEt-Longview?

The phone number listed for the practice location is (903) 520-4710.

Where is McEt-Longview located?

505 North Sixth Street, Longview, TX 75602.

What is the taxonomy code for McEt-Longview?

The primary taxonomy code is 261QM2800X – Methadone Clinic.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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