Collective Services, Inc

LBN: Collective Services, Inc
Collective Services, Inc is an health care organization with primary practice located at 2435 Gravel Dr , Fort Worth TX 76118-6937. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Collective Services, Inc can be contacted via phone (817) 595-1556, or through Siddiqi, Ayesha via phone (817) 784-2400.

Contact Information

Primary practice address
2435 Gravel Dr Fort Worth TX 76118-6937
Phone: (817) 595-1556
Fax: (817) 595-1536
Website:
Map and Directions
Authorized official contact:
Name: Siddiqi, Ayesha
Phone: (817) 784-2400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 22616 Texas

Profile Details

NPI number 1164423513
LBN Legal business name Collective Services, Inc
DBA Doing business as
Authorized official Siddiqi, Ayesha
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164423513 NPPES
Texas Other 4537962 NCPDP #

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