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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