Braxton County Memorial Hospital
Organization Active NPI Home Health Registered Nurse · Gassaway, WV
NPI 1043259229 · NPPES record last updated Nov 20, 2018
Key facts
- NPI
- 1043259229
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- Legal business name
- BRAXTON COUNTY MEMORIAL HOSPITAL
- Practice address
- 100 Hoylman Dr
Gassaway, WV 26624-9321 - Phone
- (304) 364-1063
- Fax
- (304) 364-8637
- NPI assigned
- Jun 5, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BRAXTON COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Kimberly Dawn Knight
- Title
- Cfo
- Phone
- (304) 364-1128
Member of 1
National Provider Directory
- Part of
- Gary F Roberts MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse |
163WH0200X | Yes | ||
| Home Health Aide |
374U00000X |
Addresses
Primary practice location
100 Hoylman Dr
Gassaway, WV 26624-9321
Mailing address
100 Hoylman Dr
Gassaway, WV 26624-9321
Phone (304) 364-1063
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001703819 | Other | WV | BLUE CROSS |
| 306997 | Other | WV | FEDERAL BLACK LUNG |
| 0001734001 | Medicaid | WV |
Other providers in Gassaway, WV
- Kassie Marie Belknap
- Shyanne Shroyer Bell
- Christine Biegert
- Dorothy Jean Bland
- Kevin C Boring
- Braxton County Memorial Hospital
- Braxton County Memorial Hospital
- Braxton County Memorial Hospital
- Braxton County Memorial Hospital
- Braxton County Memorial Hospital
All providers in Gassaway, WV · Home Health Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.