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Contact Information

BRAXTON COUNTY MEMORIAL HOSPITAL
100 HOYLMAN DR
GASSAWAY, WV26624-9321
 Phone: 304-364-1063
 Fax: 304-364-8637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for BRAXTON COUNTY MEMORIAL HOSPITAL · (Female)

NPI Number 1043259229
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2006
Last updated 11/20/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV Medicaid 0001734001
  • WV Other 001703819 BLUE CROSS
  • WV Other 306997 FEDERAL BLACK LUNG
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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