Organization
WILLIAMSON COUNTY AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY L COLYER (PRESIDENT)
(618) 922-8670
Entity
Organization
Contact information
Practice address
808 E DEYOUNG ST, MARION, IL 62959-3333
(618) 997-4915
(618) 993-3386
Mailing address
808 E DEYOUNG ST, MARION, IL 62959-3333
(618) 997-4915
(618) 993-3386
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
5210
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027487
HEALTH ALLIANCE
—
01
—
087931100
DOL BLACK LUNG
—
01
—
10070554
BLUE CROSS BLUE SHIELD
IL
01
—
113139
HEALTHLINK, INC
—
01
—
590155539
RAILROAD MEDICARE
—
01
—
8181435
UNITED HEALTHCARE
—
Enumeration date
10/10/2006
Last updated
07/29/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up