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Contact Information

WILLIAMSON COUNTY AMBULANCE SERVICE, INC
808 E DEYOUNG ST
MARION, IL62959-3333
 Phone: 618-997-4915
 Fax: 618-993-3386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
 

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for WILLIAMSON COUNTY AMBULANCE SERVICE, INC

NPI Number 1255428140
LBN Legal business name WILLIAMSON COUNTY AMBULANCE SERVICE, INC
Authorized official RICKY COLYER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2006
Last updated 07/29/2019 - About 7 years ago
Identifiers
IL License # 5210
Other 087931100 DOL BLACK LUNG
Other 027487 HEALTH ALLIANCE
Other 113139 HEALTHLINK, INC
Other 590155539 RAILROAD MEDICARE
Other 8181435 UNITED HEALTHCARE
IL Other 10070554 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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