# BRAXTON COUNTY MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL
- **Other names:** Braxton County memorial Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821489469
- **Legal business name:** HOSPITAL
- **Authorized official:** KIMBERLY DAWN KNIGHT (CFO)
- **Authorized official phone:** (304) 364-1128

## Contact information

- **Practice address:** 100 HOYLMAN DR, GASSAWAY, WV 26624-9318
- **Practice address phone:** (304) 364-5156
- **Practice address fax:** (304) 364-5809
- **Mailing address:** 100 HOYLMAN DR, GASSAWAY, WV 26624-9318
- **Mailing address phone:** (304) 364-5156
- **Mailing address fax:** (304) 364-5809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | 3 | WV | Yes |

## Other

- **Enumeration date:** 02/17/2015
- **Last updated:** 11/20/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4006002000 | — | WV |