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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

NPI # 1043259229
LBN Legal business name BRAXTON COUNTY MEMORIAL HOSPITAL
Authorized official KIMBERLY KNIGHT - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/05/2006
Last updated 11/20/2018 - About 8 years ago
Identifiers
WV Medicaid 0001734001
WV Other 001703819 BLUE CROSS
WV Other 306997 FEDERAL BLACK LUNG
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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