Organization
BRAXTON COUNTY MEMORIAL HOSPITAL
Active
Parent organization
BRAXTON COUNTY MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRAXTON COUNTY MEMORIAL HOSPITAL
Authorized official
KIMBERLY DAWN KNIGHT (CFO)
(304) 364-1128
Entity
Organization
Contact information
Practice address
100 HOYLMAN DR, GASSAWAY, WV 26624-9321
(304) 364-1063
(304) 364-8637
Mailing address
100 HOYLMAN DR, GASSAWAY, WV 26624-9321
(304) 364-1063
(304) 364-8637
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001734001
—
WV
01
—
001703819
BLUE CROSS
WV
01
—
306997
FEDERAL BLACK LUNG
WV
Enumeration date
06/05/2006
Last updated
11/20/2018
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