Collins Facilitation Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COLLINS FACILITATION SERVICES

Practice address

209 High Ave NE
Coeburn, VA 24230-4048

Phone

(276) 395-3484

NPI assigned

Mar 3, 2020

Last updated

Mar 3, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gene Henry Collins, ED. S.

Title

Services Facilitator

Phone

(276) 395-3484

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1013542786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HIGH AVE NE",
            "city": "COEBURN",
            "state": "VA",
            "postal_code": "242304048",
            "telephone_number": "276-395-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HIGH AVE NE",
            "city": "COEBURN",
            "state": "VA",
            "postal_code": "242304048",
            "telephone_number": "276-395-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS FACILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "SERVICES FACILITATOR",
        "authorized_official_telephone_number": "276-395-3484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED. S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Zeigler Bradley, PHARM D
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• Braxton Tyler Cordill, PHARMD
• Cross Roads Point, Inc.
• Teri Dahley

• Case Management Agency in Coeburn, VA
• Providers in Coeburn, VA by specialty
• Case Management Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.