NPIMap

Organization Active NPI

Williamson Health & Wellness Center Inc

Doing business as Williamson Health & Wellness Center Kermit PK8

  • Federally Qualified Health Center (FQHC)
  • Kermit, WV
National Provider Identifier
1083260129
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WILLIAMSON HEALTH & WELLNESS CENTER INC
Doing business as
Williamson Health & Wellness Center Kermit PK8
Practice address
300 Blue Devil Lane
Kermit, WV 25661
Phone
(304) 236-5902
Fax
(304) 235-7041
NPI assigned
Aug 14, 2019
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLIAMSON HEALTH & WELLNESS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Donovan Beckett
Title
Ceo
Phone
(304) 236-5902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

300 Blue Devil Lane
Kermit, WV 25661

Mailing address

PO Box 2080
Williamson, WV 25661-2080
Phone (304) 236-5902

Other names 1

  • Williamson Health & Wellness Center Kermit PK8 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Williamson Health Wellness Center Inc18 organizations share this tax ID, including this one
Part of
Williamson Health Wellness Center Inc

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

300 Blue Devil Ln
Kermit, WV 25674

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBJECA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1083260129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2080",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256612080",
            "telephone_number": "304-236-5902",
            "fax_number": "304-235-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BLUE DEVIL LANE",
            "city": "KERMIT",
            "state": "WV",
            "postal_code": "25661",
            "telephone_number": "304-236-5902",
            "fax_number": "304-235-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON HEALTH & WELLNESS CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAMSON HEALTH & WELLNESS CENTER",
        "enumeration_date": "2019-08-14",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "BECKETT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DONOVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-236-5902"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamson Health & Wellness Center Kermit PK8",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williamson Health & Wellness Center Kermit PK8",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kermit, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.