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Williamson Health & Wellness Center Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Matewan, WV

NPI 1386360683 · NPPES record last updated Oct 18, 2022

Key facts

NPI
1386360683
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
WILLIAMSON HEALTH & WELLNESS CENTER INC
Practice address
104 Chambers St.
Matewan, WV 25678
Phone
(304) 426-8569
NPI assigned
Oct 18, 2022
Organization subpart
Yes
Parent organization (as reported)
WILLIAMSON HEALTH & WELLNESS CENTER INC

Authorized official

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

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 17

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WV

Federally qualified health center certification: CCN 581078

Legal name
WILLIAMSON HEALTH & WELLNESS CENTER INC
Doing business as
WILLIAMSON HEALTH & WELLNESS CENTER-MATEWAN PK-8
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 28, 2025
Last certification
Oct 28, 2025
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
104 Chambers St.
Matewan, WV 25678

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sherry Hatfield
Individual 		Corporate Director
Board Member		 May 18, 2025
Mabel Childress
Individual 		Corporate Director
Board of Directors		 May 18, 2025
Chris Canterbury
Individual 		Corporate Director
Chair/Board of Directors		 May 18, 2025
Christopher Donovan Beckett
Individual 		Corporate Officer
Ceo		 Mar 12, 2014 100%
Corporate Director
Ceo		 Mar 12, 2014 100%
W-2 Managing Employee
Ceo/Physician		 Mar 12, 2014 100%
Nicole McNamee
Individual 		Corporate Director
Vice Chair-Board of Directors		 May 18, 2025
Sherri Brown
Individual 		Corporate Director
Treasurer		 May 18, 2025
Virginia Farley
Individual 		Corporate Director
Board Member		 May 18, 2025
Dennis Wilson
Individual 		Corporate Director
Member/Boards of Directors		 May 18, 2025
Williamson Health & Wellness Center Inc
Organization · Williamson, WV 		5% Or Greater Direct Ownership Interest Oct 1, 2024 100%
Carole Steele
Individual 		Corporate Director
Board of Directors		 May 18, 2025
Jacqueline Branch
Individual 		Corporate Director
Secretary		 May 18, 2025

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Williamson Health & Wellness Center- Behavioral Medicine Clinic
Williamson, WV · CCN 510094		 Hospital 5% Or Greater Direct Ownership Interest (100%) May 31, 2020
Williamson Health & Wellness Center Inc
Williamson, WV · CCN 511032		 Federally qualified health center Operational/Managerial Control Sep 3, 2013

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140521000620 WV Part B Supplier - Clinic/Group Practice 5395972996 Receives reassigned benefits from 31 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Williamson, WV; Lavalette, WV; Matewan, WV; Delbarton, WV
O20250915000148 WV Part a Provider - Federally Qualified Health Center (FQHC) 5395972996 Practice locations: Matewan, WV

National Provider Directory

Tax ID family
Williamson Health Wellness Center Inc (18 organizations share this tax ID)
Part of
Williamson Health Wellness Center Inc

Specialties & licenses

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

Addresses

Primary practice location

104 Chambers St.
Matewan, WV 25678

Mailing address

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

Other names

  • Williamson Health & Wellness Center- Matewan PK-8 Doing business as

Other providers in Matewan, WV

All providers in Matewan, WV · Federally Qualified Health Center (FQHC) in West Virginia

Sources for this page

Verify at the official NPI Registry.