NPI Code Detail JSON Logo

1174345243 NPI number — WILLIAMSON MEMORIAL, INC.

NPI Number: 1174345243
Health Care Provider/Practitioner: WILLIAMSON MEMORIAL, INC.

Information about “1174345243” NPI (WILLIAMSON MEMORIAL, INC.) exists in 1174345243 in HTML format HTML  |  1174345243 in plain Text format TXT  |  1174345243 in PDF (Portable Document Format) PDF  |  1174345243 in an XML format XML  formats.

NPI Number : 1174345243 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174345243",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "WILLIAMSON MEMORIAL, INC",
    "ParentOrgTIN": null,
    "OrgName": "WILLIAMSON MEMORIAL, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1038",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILLIAMSON",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "25661-1038",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "606-369-5753",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "859 ALDERSON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILLIAMSON",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "25661-3215",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-235-2500",
    "PracticeLocationAddressFaxNumber": "304-209-7094",
    "EnumerationDate": "10/29/2024",
    "LastUpdateDate": "10/29/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JEWELL",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "304-236-5902",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207P00000X",
        "TaxonomyName": "Emergency Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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