WILLIAMSON HEALTH & WELLNESS CENTER INC (NPI# 1225684731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225684731 |
Entity Type | Organization |
Organization Name | WILLIAMSON HEALTH & WELLNESS CENTER INC |
Practice Address |
1000 King Coal Hwy Delbarton WV 25670-9529 |
Mailing Address |
Po Box 2080 Williamson WV 25661-2080 |
Practice Telephone | 3042365902 |
Practice Fax Number | 8554874041 |
Mailing Telephone | 3042365902 |
Mailing Fax Number | 8554874047 |
Enumeration Date | 2019-08-12 |
Last Update Date | 2019-08-12 |
Authorized Official Name | CHRISTOPHER DONOVAN BECKETT (CEO) |
Authorized Official Telephone | 3042351844 |
Is Organization Subpart | Y |
Parent Organization Name | WILLIAMSON HEALTH & WELLNESS CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Williamson Health & Wellness Center Mingo Central | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
1619536604 | Williamson Health & Wellness Center Inc | Clinic/Center | 180 E 2nd Ave, Williamson, WV 25661-3602 | 2019-06-12 |
1700445798 | Williamson Health & Wellness Center Inc | Clinic/Center | 859 Alderson St Ste 1000, Williamson, WV 25661-3215 | 2019-06-12 |
1386115905 | Williamson Health & Wellness Center Inc | Clinic/Center | 104 Logan St, Williamson, WV 25661-3606 | 2018-12-07 |
1730669524 | Williamson Health & Wellness Center Inc | Clinic/Center | 2475 Rte 52, Gilbert, WV 25621 | 2018-08-21 |
1942840384 | Williamson Health & Wellness Center Inc | Clinic/Center | 104 Logan St, Williamson, WV 25661-3606 | 2020-01-14 |
1467711150 | Williamson Health & Wellness Center Inc | Clinic/Center | 184 E 2nd Ave, Suite 210, Williamson, WV 25661-3602 | 2012-05-15 |
Street Address |
1000 KING COAL HWY |
City | DELBARTON |
State | WV |
Zip Code | 25670-9529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710405 | Brandala Quinn Collins | Technician | 52 Jr Court, Varney, WV 25670 | 2020-11-03 |
1518572346 | Kelli Lynn Spaulding | Technician | 138 Elk Creek Road, Delbarton, WV 25670 | 2020-09-09 |
1144833310 | Kimberly Dawn Mahon | Technician | Rt. 1 B 317, Delbarton, WV 25670 | 2020-08-28 |
1932712478 | Darlis Joan Cassady | Technician | 79 Rocky Hill Road, Delbarton, WV 25670 | 2020-08-25 |
1184235020 | Jackie Faye Dingess | Technician | 887 Boy Scout Hollow, Delbarton, WV 25670 | 2020-08-13 |
1225524432 | Dora Davis Davis | Registered Nurse | 48 Mystery Mt Road, Delbarton, WV 25670 | 2018-07-11 |
1134184229 | Mingo Medical Associates, Inc. | Clinic/Center | Main Street, Delbarton, WV 25670 | 2006-04-20 |
1720043995 | Oscar P Carrillo | Family Medicine | Main Street, Delbarton, WV 25670-0728 | 2006-04-19 |
1780125153 | Rita Dawn Mccoy | Registered Nurse | 57 Polk St, Delbarton, WV 25670-1107 | 2017-03-17 |
1689109431 | Mccoy R.n. | Nursing Care | 57 Polk St, Delbarton, WV 25670-1107 | 2017-04-28 |
Find all providers in zip 25670 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033490149 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 5027 Helena Ave, Suite 1, Delbarton, WV 25670-1301 | 2011-09-01 |
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1801493499 | Camden On Gauley Medical Center Inc | Clinic/Center | 52 Florence Street, Ansted, WV 25812 | 2020-10-06 |
1194339309 | Community Care of West Virginia, Inc. | Clinic/Center | 33 E Victoria St, Buckhannon, WV 26201-2671 | 2020-09-04 |
1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
1669024469 | Womencare Inc | Clinic/Center | 150 Josephine Ave, Madison, WV 25130-1357 | 2019-07-11 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.