# BRAXTON COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRAXTON COUNTY MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043259229
- **Legal business name:** BRAXTON COUNTY MEMORIAL HOSPITAL
- **Authorized official:** KIMBERLY DAWN KNIGHT (CFO)
- **Authorized official phone:** (304) 364-1128

## Contact information

- **Practice address:** 100 HOYLMAN DR, GASSAWAY, WV 26624-9321
- **Practice address phone:** (304) 364-1063
- **Practice address fax:** (304) 364-8637
- **Mailing address:** 100 HOYLMAN DR, GASSAWAY, WV 26624-9321
- **Mailing address phone:** (304) 364-1063
- **Mailing address fax:** (304) 364-8637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 11/20/2018