Organization
BRAXTON COUNTY MEMORIAL HOSPITAL
Active
Parent organization
HOSPITAL
Other names
Braxton County memorial Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL
Authorized official
KIMBERLY DAWN KNIGHT (CFO)
(304) 364-1128
Entity
Organization
Contact information
Practice address
100 HOYLMAN DR, GASSAWAY, WV 26624-9318
(304) 364-5156
(304) 364-5809
Mailing address
100 HOYLMAN DR, GASSAWAY, WV 26624-9318
(304) 364-5156
(304) 364-5809
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
3
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4006002000
—
WV
Enumeration date
02/17/2015
Last updated
11/20/2018
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