Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Braxton County Memorial Hospital

Organization Family Medicine Physician · NPI 1639278518

Braxton County Memorial Hospital is a Family Medicine Physician in Gassaway, West Virginia. Works from 2 locations. Licensed in West Virginia.

Licensed in
WV
In the registry since
2006
Specialties on file
2

Practice location Address checks out

617 River St
Gassaway, WV 26624-1137
Phone: (304) 364-2401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Hoylman Dr, Gassaway, WV 26624-9321 — (304) 364-1093

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 031428 (WV)
Family Medicine Physician Taxonomy 207Q00000X · Licence 002 (WV)

Record details

NPI number1639278518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Knight — Cfo · (304) 364-1128
Other names Braxton Community Health Center; Braxton Community Health Center
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJuly 21, 2022
Certification dateApril 1, 2021
Mailing address100 Hoylman Dr, Gassaway, WV 26624-9321

Other providers in Gassaway