WILLIAMSON HEALTH & WELLNESS CENTER INC (NPI# 1700445798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700445798 |
| Entity Type | Organization |
| Organization Name | WILLIAMSON HEALTH & WELLNESS CENTER INC |
| Other Organization Name | WILLIAMSON HEALTH & WELLNESS CENTER - ALDERSON CLINIC |
| Practice Address |
859 Alderson St Ste 1000 Williamson WV 25661-3215 |
| Mailing Address |
Po Box 2080 Williamson WV 25661-2080 |
| Practice Telephone | 3042365902 |
| Practice Fax Number | 8554874047 |
| Mailing Telephone | 3042365902 |
| Mailing Fax Number | 8554874047 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | CHRISTOPHER DONOVAN BECKETT (CEO) |
| Authorized Official Telephone | 3042365902 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAMSON HEALTH & WELLNESS CENTER INC |
| 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 - Alderson Clinic | Doing Business As Name - Organization |
| Williamson Health & Wellness Center-183 | 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 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| 1619536604 | Williamson Health & Wellness Center Inc | Clinic/Center | 180 E 2nd Ave, Williamson, WV 25661-3602 | 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 |
859 ALDERSON ST STE 1000 |
| City | WILLIAMSON |
| State | WV |
| Zip Code | 25661-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315715 | Leah Danielle Davis | Technician | Rr 1 200b, Left Fork Marrowbone, Williamson, WV 25661 | 2020-10-30 |
| 1487253209 | Rosalene Diamond | Technician | 398 Davis Branch Road, Wiilliamson, WV 25661 | 2020-10-22 |
| 1295332021 | Mary Ann Hickman | Technician | 144 Lincoln Street, Williamson, WV 25661 | 2020-10-05 |
| 1194322917 | Randy Lee Davis | Technician | 511 Dickerson Street Apt. #7, Williamson, WV 25661 | 2020-10-05 |
| 1679188320 | Deborah Ann Smith | Technician | 25 Ben Street, Williamson, WV 25661 | 2020-09-10 |
| 1356956262 | Jessica Ann Payne | Technician | 1203 Buffalo Creek Road, Lot#1, Williamson, WV 25661 | 2020-09-09 |
| 1154934396 | Jahala Kay Kozee | Technician | 164 Us Rt. 52, Williamson, WV 25661 | 2020-08-27 |
| 1952914186 | Ruth Elaine Kirk | Technician | 45 Wincole Lane, Williamson, WV 25661 | 2020-08-27 |
| 1831702208 | Mary Elizabeth Gilman | Technician | 436 State Route 65, Williamson, WV 25661 | 2020-08-26 |
| 1437760253 | Dianna Lynn Brown | Technician | 21 Old Field Branch Road, Williamson, WV 25661 | 2020-08-14 |
| Find all providers in zip 25661 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1619536604 | Williamson Health & Wellness Center Inc | Clinic/Center | 180 E 2nd Ave, Williamson, WV 25661-3602 | 2019-06-12 |
| 1386115905 | Williamson Health & Wellness Center Inc | Clinic/Center | 104 Logan St, Williamson, WV 25661-3606 | 2018-12-07 |
| 1467711150 | Williamson Health & Wellness Center Inc | Clinic/Center | 184 E 2nd Ave, Suite 210, Williamson, WV 25661-3602 | 2012-05-15 |
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| 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 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| 1669024469 | Womencare Inc | Clinic/Center | 150 Josephine Ave, Madison, WV 25130-1357 | 2019-07-11 |
| 1538711452 | Community Care of West Virginia, Inc. | Clinic/Center | 481 Heavner Grove Rd, Buckhannon, WV 26201-4859 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSON |
| Zip Code | 25661 |
Please comment or provide details below to improve the information on WILLIAMSON HEALTH & WELLNESS CENTER INC.
| 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.