BRAXTON COUNTY MEMORIAL HOSPITAL; NPI #1821489469

Contact Information

BRAXTON COUNTY MEMORIAL HOSPITAL

100 HOYLMAN DR
GASSAWAY, WV 26624-9318

Phone: 304-364-5156
Fax: 304-364-5809
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Critical Access Hospital	261QC0050X

Indicates primary specialty

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NPI Profile & details for BRAXTON COUNTY MEMORIAL HOSPITAL

NPI Number 1821489469

LBN Legal business name BRAXTON COUNTY MEMORIAL HOSPITAL

Authorized official KIMBERLY KNIGHT - (CFO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 02/17/2015

Last updated 11/20/2018 - About 8 years ago

Identifiers

WV	License #	3
WV	Medicaid	4006002000

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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