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NPI Code Detail

MEDICARE: WILLIAMS COUNTY SOCIAL SERVICES

MEDICARE: WILLIAMS COUNTY SOCIAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2251G00000XCommunity Based Hospice Care Agency
3252Y00000XEarly Intervention Provider Agency
4253J00000XFoster Care Agency
5251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578980272
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAMS COUNTY SOCIAL SERVICES
Provider Business Mailing Address
First Line : 110 W BROADWAY STE 202
Second Line :
City : WILLISTON
State : ND
Zip : 58801-6056
Country : US
Telephone Number : 701-774-6300
Fax Number :
Provider Business Practice Location Address
First Line : 110 W BROADWAY STE 202
Second Line :
City : WILLISTON
State : ND
Zip : 58801-6056
Country : US
Telephone Number : 701-774-6300
Fax Number :
Authorized Official
Title or Position : COUNTY DIRECTOR IV
Name : LOIS REIERSON
Credential :
Telephone Number : 701-774-6300
Provider Enumeration Date : 03/20/2014
Last Update Date : 03/20/2014

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1285045971 — SHERI STEVENS
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Practice Fax:

Directions to “WILLIAMS COUNTY SOCIAL SERVICES ” Practice Location

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