Debt consolidation or payments?

After a bunch of major financial setbacks my credit score plummeted to 477 and I have about $9000 in collections right now. The debt isn’t credit card or auto loan it’s mostly just hospital bills and cell phone companies etc. My question is in order to start managing this would it be better to try to consolidate it through a company or just to make payments on it steadily and do that continuously indefinitely? Thanks in advance.