MEDICARE: WILLIAMSON HEALTH & WELLNESS CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1225684731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMSON HEALTH & WELLNESS CENTER INC

Provider Business Mailing Address
First Line	:	PO BOX 2080
Second Line	:
City	:	WILLIAMSON
State	:	WV
Zip	:	25661-2080
Country	:	US
Telephone Number	:	304-236-5902
Fax Number	:	855-487-4047

Provider Business Practice Location Address
First Line	:	1000 KING COAL HWY
Second Line	:	ROOMS 637 & 641
City	:	DELBARTON
State	:	WV
Zip	:	25670-9529
Country	:	US
Telephone Number	:	304-236-5902
Fax Number	:	855-487-4041

Authorized Official
Title or Position	:	CEO
Name	:	CHRISTOPHER DONOVAN BECKETT
Credential	:
Telephone Number	:	304-236-5902

Provider Enumeration Date	:	08/12/2019
Last Update Date	:	11/07/2025

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