1740493253 NPI number — WILLIAMSON MEDICAL DEVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740493253 NPI number — WILLIAMSON MEDICAL DEVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAMSON MEDICAL DEVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740493253
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1401 6TH AVE
Provider Second Line Business Mailing Address:
POB 152
Provider Business Mailing Address City Name:
FORD CITY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16226-1325
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-763-2285
Provider Business Mailing Address Fax Number:
724-763-8134

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1401 6TH AVE
Provider Second Line Business Practice Location Address:
POB 152
Provider Business Practice Location Address City Name:
FORD CITY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16226-1325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-763-2285
Provider Business Practice Location Address Fax Number:
724-763-8134
Provider Enumeration Date:
05/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMSON
Authorized Official First Name:
MARSHA
Authorized Official Middle Name:
KAY
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
724-763-2285

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com