Healthcare Provider Details

I. General information

NPI: 1154463826
Provider Name (Legal Business Name): COALITION OF HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S POLK ST STE 740
AMARILLO TX
79101-1408
US

IV. Provider business mailing address

301 S POLK ST STE 740
AMARILLO TX
79101-1408
US

V. Phone/Fax

Practice location:
  • Phone: 806-337-1700
  • Fax: 806-337-1704
Mailing address:
  • Phone: 806-337-1700
  • Fax: 806-337-1704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number1308728-06
License Number StateTX

VIII. Authorized Official

Name: MRS. CAROLYN WITHERSPOON
Title or Position: EXECUTIVE DIRECTOR
Credential: RN, BSN
Phone: 806-337-1700