BROADDUS HOSPITAL ASSOCIATION, INC.; NPI #1548246622

Contact Information

BROADDUS HOSPITAL ASSOCIATION, INC.

#1 HEALTHCARE DRIVE
MANSFIELD HILL
PHILIPPI, WV 26416

Phone: 304-457-1760
Fax: 304-457-1516
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Critical Access	282NC0060X	A0[7]	Critical Access Hospital

Indicates primary specialty

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NPI Profile & details for BROADDUS HOSPITAL ASSOCIATION, INC.

NPI Number 1548246622

LBN Legal business name BROADDUS HOSPITAL ASSOCIATION, INC.

Authorized official DANA GOULD - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/20/2005

Last updated 07/09/2019 - About 7 years ago

Identifiers

WV	License #	96
WV	Medicaid	0002167000
WV	Other	CE1018	MEDICARE RAILROAD

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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BROADDUS HOSPITAL ASSOCIATION, INC.

Contact Information

Specialty

Critical Access

NPI Profile & details for BROADDUS HOSPITAL ASSOCIATION, INC.

Reviews for BROADDUS HOSPITAL ASSOCIATION, INC.