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Organization
WILLIAMSON MEMORIAL HOSPITAL LLC
Active
Organization
WILLIAMSON MEMORIAL HOSPITAL LLC
Active
Other names
Williamson Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA RUNYON (PHYSICIAN PRACTICE MANAGER)
(304) 235-2500
Entity
Organization
Contact information
Practice address
859 ALDERSON ST, WILLIAMSON, WV 25661-3215
(304) 235-2500
(304) 235-0538
Mailing address
859 ALDERSON ST, PO BOX 1980, WILLIAMSON, WV 25661-3215
(304) 235-2500
(304) 235-4549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
282N00000X
General Acute Care Hospital
Primary
68
WV
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001235000
—
WV
05
—
0019974
—
OH
05
—
01690015
—
KY
05
—
65939423
—
KY
05
—
65942377
—
KY
01
—
CG2287
RAILROAD MC
—
01
—
CK7099
RAILROAD MC
—
01
—
DA1751
RAILROAD MC
—
01
—
DA7625
RAILRAOD MC
—
Enumeration date
09/13/2005
Last updated
11/09/2018
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