Provider Demographics
NPI:1013073337
Name:CITY OF WILLIAMS IOWA
Entity Type:Organization
Organization Name:CITY OF WILLIAMS IOWA
Other - Org Name:WILLIAMS AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:CAC
Authorized Official - Phone:515-887-3553
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:WILLIAMS
Mailing Address - State:IA
Mailing Address - Zip Code:50271-0007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 3RD ST
Practice Address - Street 2:
Practice Address - City:WILLIAMS
Practice Address - State:IA
Practice Address - Zip Code:50271-0000
Practice Address - Country:US
Practice Address - Phone:515-887-3553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24006003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0119719Medicaid
IA21342Medicare PIN