Organization Name: | BRAXTON COUNTY MEMORIAL HOSPITAL |
NPI Number: | 1356304547 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEN VINCENT (ADMINISTRATOR) |
Mailing Address: | 100 Hoylman Dr Gassaway |
State: | WV US |
Postal Code: | 266249321 |
Phone Number: | 3043645156 |
Fax Number: | 3043645809 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 03 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |