Provider Demographics
NPI:1578980272
Name:WILLIAMS COUNTY SOCIAL SERVICES
Entity Type:Organization
Organization Name:WILLIAMS COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY DIRECTOR IV
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:REIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-774-6300
Mailing Address - Street 1:110 W BROADWAY STE 202
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-6056
Mailing Address - Country:US
Mailing Address - Phone:701-774-6300
Mailing Address - Fax:
Practice Address - Street 1:110 W BROADWAY STE 202
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-6056
Practice Address - Country:US
Practice Address - Phone:701-774-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No252Y00000XAgenciesEarly Intervention Provider Agency
No253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND38853Medicaid
ND50763Medicaid