WILLIAMSON COUNTY AMBULANCE SERVICE, INC (NPI# 1255428140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255428140 |
| Entity Type | Organization |
| Organization Name | WILLIAMSON COUNTY AMBULANCE SERVICE, INC |
| Practice Address |
808 E Deyoung St Marion IL 62959-3333 |
| Practice Telephone | 6189974915 |
| Practice Fax Number | 6189933386 |
| Mailing Telephone | 6189974915 |
| Mailing Fax Number | 6189933386 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-07-29 |
| Authorized Official Name | RICKY L COLYER (PRESIDENT) |
| Authorized Official Telephone | 6189228670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
5210 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHLINK, INC | 113139 | 01 | |
| RAILROAD MEDICARE | 590155539 | 01 | |
| IL | BLUE CROSS BLUE SHIELD | 10070554 | 01 |
| UNITED HEALTHCARE | 8181435 | 01 | |
| HEALTH ALLIANCE | 027487 | 01 | |
| DOL BLACK LUNG | 087931100 | 01 |
| Street Address |
808 E DEYOUNG ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144687138 | Marion Fire District | Ambulance | 180 Gopher Ln, Marion, MT 59925 | 2016-01-21 |
| 1194151613 | Pleasant Township Trustees | Ambulance | 1035 Owens Rd W, Marion, OH 43302-8203 | 2013-09-16 |
| 1396183414 | Marion Volunteer Ambulance Inc | Ambulance | 3786 Mill St, Marion, NY 14505-9701 | 2013-06-11 |
| 1225335896 | Trinity Ambulance Service, LLC | Ambulance | 4429 Lee Hwy, Marion, VA 24354-4269 | 2011-02-17 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1285887364 | Marion Volunteer Fire Department | Ambulance | 180 Gopher Lane, Marion, MT 59925-0000 | 2008-11-03 |
| 1083867899 | Cares Emergency Medical Services, LLC | Ambulance | 17087 Classic Rd, Marion, IL 62959-7492 | 2008-10-24 |
| 1124241013 | City of Marion | Ambulance | 364 Military Rd, Marion, AR 72364-1734 | 2007-04-10 |
| 1255457636 | Lake Egypt Fire Protection District | Ambulance | 12228 Lake of Egypt Rd., Marion, IL 62959 | 2007-03-21 |
| 1225106511 | Marion Ambulance & Rescue Service Inc | Ambulance | 660 Gopher Ln, Marion, MT 59925-9789 | 2006-12-03 |
| Find all providers in MARION | ||||
Please comment or provide details below to improve the information on WILLIAMSON COUNTY AMBULANCE SERVICE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.