Provider Demographics
NPI:1619934973
Name:WILLIAMSON COUNTY & CITIES HEALTH DISTRICT
Entity Type:Organization
Organization Name:WILLIAMSON COUNTY & CITIES HEALTH DISTRICT
Other - Org Name:WCCHD
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:MORGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:512-943-3600
Mailing Address - Street 1:100 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-5030
Mailing Address - Country:US
Mailing Address - Phone:512-943-3600
Mailing Address - Fax:512-943-1499
Practice Address - Street 1:211 COMMERCE BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2184
Practice Address - Country:US
Practice Address - Phone:512-248-3257
Practice Address - Fax:512-248-3260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1269367-02Medicaid
TX1831859-01Medicaid
TXPH0037Medicare ID - Type UnspecifiedROSTER BILLING - MEDICARE