Provider Demographics
NPI:1821250432
Name:WILLIAMS COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:WILLIAMS COUNTY COMMISSIONERS
Other - Org Name:WILLIAMS COUNTY DEPARTMENT OF AGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:WILLIAMS COUNTY COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:HILKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-636-2059
Mailing Address - Street 1:1425 E. HIGH ST.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BRYAN
Mailing Address - State:OH
Mailing Address - Zip Code:43506-8410
Mailing Address - Country:US
Mailing Address - Phone:419-633-4317
Mailing Address - Fax:419-633-4319
Practice Address - Street 1:1425 E. HIGH ST.
Practice Address - Street 2:SUITE 102
Practice Address - City:BRYAN
Practice Address - State:OH
Practice Address - Zip Code:43506-8410
Practice Address - Country:US
Practice Address - Phone:419-633-4317
Practice Address - Fax:419-633-4319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332U00000XSuppliersHome Delivered Meals
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2082722Medicaid
OH2746247Medicaid