NPIMap

Organization Active NPI

Williamson Memorial Hospital LLC

  • Clinic/Center
  • Williamson, WV
National Provider Identifier
1962540773
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WILLIAMSON MEMORIAL HOSPITAL LLC
Practice address
859 Alderson St
Williamson, WV 25661-3215
Phone
(304) 235-0466
Fax
(304) 235-0536
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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) 899-6118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WV Primary

Addresses

Primary practice location

859 Alderson St
Williamson, WV 25661-3215

Mailing address

PO Box 1958
Williamson, WV 25661-1958
Phone (304) 899-6118

Other identifiers 1

IdentifierTypeStateIssuer
0001235002MedicaidWV

Other names 1

  • Williamson Physicians Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Management Associates of WV9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1962540773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1958",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256611958",
            "telephone_number": "304-899-6118",
            "fax_number": "304-235-0538"
        },
        {
            "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": "304-235-0466",
            "fax_number": "304-235-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON MEMORIAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "RUNYON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PHYSICIAN PRACTICE MANAGER",
        "authorized_official_telephone_number": "304-899-6118",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001235002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamson Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williamson Physicians Group",
            "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 May 3, 2019; 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.