NPIMap

Organization Active NPI

Williamson Memorial Hospital LLC

Doing business as Williamson Memorial Hospital

  • General Acute Care Hospital
  • Williamson, WV
National Provider Identifier
1275528614
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
68 Issued in WV
Legal business name
WILLIAMSON MEMORIAL HOSPITAL LLC
Doing business as
Williamson Memorial Hospital
Practice address
859 Alderson St
Williamson, WV 25661-3215
Phone
(304) 235-2500
Fax
(304) 235-0538
NPI assigned
Sep 13, 2005
Last updated
Nov 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Authorized official

Name
Mrs. Sandra Runyon
Title
Physician Practice Manager
Phone
(304) 235-2500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Cardiovascular Disease Physician 207RC0000X NU
General Acute Care Hospital 282N00000X 68 WV Primary
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

859 Alderson St
Williamson, WV 25661-3215

Mailing address

859 Alderson St
PO Box 1980
Williamson, WV 25661-3215
Phone (304) 235-2500

Other identifiers 9

IdentifierTypeStateIssuer
0019974MedicaidOH
65939423MedicaidKY
DA1751OtherRAILROAD MC
DA7625OtherRAILRAOD MC
01690015MedicaidKY
CK7099OtherRAILROAD MC
0001235000MedicaidWV
65942377MedicaidKY
CG2287OtherRAILROAD MC

Other names 1

  • Williamson Memorial Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

59 E Third Ave
Orthopedic Care Ctr
Williamson, WV 25661
Phone (340) 235-8999

59 E Third Ave
Orthopedic Care Ctr
Williamson, WV 25661
Phone (340) 235-8999

701 College Hl
#C
Williamson, WV 25661
Phone (304) 235-8528

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1275528614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 ALDERSON ST",
            "address_2": "PO BOX 1980",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613215",
            "telephone_number": "304-235-2500",
            "fax_number": "304-235-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 ALDERSON ST",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613215",
            "telephone_number": "304-235-2500",
            "fax_number": "304-235-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON MEMORIAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "RUNYON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PHYSICIAN PRACTICE MANAGER",
        "authorized_official_telephone_number": "304-235-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WV",
            "license": "68",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019974",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65939423",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "DA1751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MC",
            "identifier": "DA7625",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01690015",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "CK7099",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001235000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65942377",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "CG2287",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamson Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamson, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.