Provider Demographics
NPI:1750622296
Name:CALLAHAN COUNTY
Entity type:Organization
Organization Name:CALLAHAN COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-854-5805
Mailing Address - Street 1:100 W 4TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BAIRD
Mailing Address - State:TX
Mailing Address - Zip Code:79504-5326
Mailing Address - Country:US
Mailing Address - Phone:325-854-5805
Mailing Address - Fax:325-854-5806
Practice Address - Street 1:100 W 4TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BAIRD
Practice Address - State:TX
Practice Address - Zip Code:79504-5326
Practice Address - Country:US
Practice Address - Phone:325-854-5805
Practice Address - Fax:325-854-5806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare