Provider Demographics
NPI:1114995586
Name:WILLIAMSON COUNTY
Entity Type:Organization
Organization Name:WILLIAMSON COUNTY
Other - Org Name:WILLIAMSON COUNTY EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KNIPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-943-1264
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-0429
Mailing Address - Country:US
Mailing Address - Phone:800-814-5339
Mailing Address - Fax:
Practice Address - Street 1:3189 SE INNER LOOP
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626
Practice Address - Country:US
Practice Address - Phone:512-943-1264
Practice Address - Fax:512-943-1269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590539378OtherRAILROAD MEDICARE
TX119643801Medicaid
B21199Medicare UPIN
TX504476Medicare ID - Type Unspecified