Provider Demographics
NPI:1881777365
Name:UNIFIED GOVERNMENT OF WEBSTER COUNTY
Entity type:Organization
Organization Name:UNIFIED GOVERNMENT OF WEBSTER COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-938-2735
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:PRESTON
Mailing Address - State:GA
Mailing Address - Zip Code:31824-0029
Mailing Address - Country:US
Mailing Address - Phone:229-828-5600
Mailing Address - Fax:229-828-2105
Practice Address - Street 1:170 MONTGOMERY STREET
Practice Address - Street 2:
Practice Address - City:PRESTON
Practice Address - State:GA
Practice Address - Zip Code:31824
Practice Address - Country:US
Practice Address - Phone:229-828-5600
Practice Address - Fax:229-828-2105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA152-01341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000099261AMedicaid
GA000099261AMedicaid