Provider Demographics
NPI:1073624136
Name:COUNTY OF COLLIN
Entity Type:Organization
Organization Name:COUNTY OF COLLIN
Other - Org Name:COLLIN COUNTY HEALTH CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH CARE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-548-5504
Mailing Address - Street 1:825 N MCDONALD ST SUITE 130
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-2141
Mailing Address - Country:US
Mailing Address - Phone:972-548-5503
Mailing Address - Fax:972-548-4441
Practice Address - Street 1:825 N MCDONALD ST SUITE 130
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-2141
Practice Address - Country:US
Practice Address - Phone:972-548-5503
Practice Address - Fax:972-548-4441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126865806Medicaid