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BROADDUS HOSPITAL (SWING BED)
NPI 1104989466
Medicare Defined Swing Bed Unit in Philippi, WV

Active since December 18, 2006CLIA 51D2344530 · Waiver
#1 HEALTHCARE DRIVE, MANSFIELD HILL, PHILIPPI, WV 26416(304) 457-1760(304) 457-1516 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broaddus Hospital (swing Bed) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADDUS HOSPITAL (SWING BED) (NPI 1104989466) is a healthcare organization registered as a medicare defined swing bed unit in Philippi, West Virginia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Dana L. Gould, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104989466
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameBROADDUS HOSPITAL ASSOCIATION, INC.
Location Address#1 HEALTHCARE DRIVE, MANSFIELD HILLPhilippi, WV 26416
Mailing Address#1 Healthcare Drive, Mansfield HillPhilippi, WV 26416 · (304) 457-1760 · Fax (304) 457-1516
Phone(304) 457-1760
Fax(304) 457-1516
Organization SubpartNo
Authorized OfficialDana L. GouldCeo · (304) 457-1760
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 9, 2019
✔ NPI 1104989466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in WV · 96
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Other Names 1

Other NameBroaddus Hospital (swing Bed)

Other Identifiers 1

Medicaid0002167001WV

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2344530

Broaddus Hospital · Philippi, WV
Active · expires May 25, 2028
CLIA Number51D2344530
Laboratory TypeHospital
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorDr. Garrett Butler
Laboratory Phone(304) 457-8146
Laboratory LocationBroaddus Hospital1 Healthcare Drive, Philippi, WV 26416
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Broaddus Hospital Association, Inc (CMS certification number 511300), from CMS Care Compare.

Broaddus Hospital Association, Inc

Critical Access Hospitals · Philippi, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511300
Location1 Healthcare Drive Mansfield HillPhilippi, WV 26416 · Barbour County · (304) 457-1760
Emergency services

Complications & Deaths 2

Death rate for heart attack patients
Cases too small to report
Death rate for pneumonia patients
Cases too small to report

Unplanned Hospital Visits 5

Hospital return days for heart attack patients
Cases too small to report
Hospital return days for pneumonia patients
Cases too small to report
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate
Cases too small to report
Rate of readmission after discharge from hospital (hospital-wide)
Cases too small to report
Pneumonia (PN) 30-Day Readmission Rate
Cases too small to report

Timely & Effective Care 6

Emergency department volume
Low
Percentage of healthcare personnel who are up to date with COVID-19 vaccinations
3.5%
Healthcare workers given influenza vaccination
98%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
109 minutes
Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better
146 minutes
Left before being seen
1%

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARRY L FITZWATER PA-C
Physician Assistant
#1 HEALTHCARE DRIVE
PHILIPPI, WV 26416
Barbour County (304) 457-1760
BROADDUS HOSPITAL ASSOCIATION, INC.
General Acute Care Hospital (Critical Access)
#1 HEALTHCARE DRIVE, MANSFIELD HILL
PHILIPPI, WV 26416
Barbour County (304) 457-1760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broaddus Hospital Association, Inc.'s NPI number?

The NPI number for Broaddus Hospital Association, Inc. is 1104989466. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is also known as Broaddus Hospital (swing Bed).

Where is Broaddus Hospital Association, Inc. located?

Broaddus Hospital Association, Inc. is located at #1 Healthcare Drive Mansfield Hill, Philippi, WV 26416. The listed phone number is (304) 457-1760.

What is Broaddus Hospital Association, Inc.'s specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Broaddus Hospital Association, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2344530) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Broaddus Hospital Association, Inc. a Medicare-certified hospital?

Yes. Broaddus Hospital Association, Inc is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

When was this NPI record last updated?

The NPPES record for Broaddus Hospital Association, Inc. was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.