Organization
BRAXTON COUNTY MEMORIAL HOSPITAL
Active
Other names
Braxton Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY D KNIGHT (CFO)
(304) 364-1128
Entity
Organization
Contact information
Practice address
617 RIVER ST, GASSAWAY, WV 26624-1137
(304) 364-2401
Mailing address
100 HOYLMAN DR, GASSAWAY, WV 26624-9321
(304) 364-1093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
002
WV
261QR1300X
Rural Health Clinic/Center
Primary
031428
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5360015000
—
WV
01
—
BR5113081
MEDICARE PART B GROUP #
WV
Enumeration date
09/21/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us