BROADDUS HOSPITAL (SWING BED)
NPI 1104989466
Medicare Defined Swing Bed Unit in Philippi, WV
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broaddus Hospital (swing Bed) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Broaddus Hospital (swing Bed), which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, WVHospital 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, WVComplications & Deaths 2
Unplanned Hospital Visits 5
Timely & Effective Care 6
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.
Is Broaddus Hospital Association, Inc. enrolled in Medicare?
Yes. Broaddus Hospital Association, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Broaddus Hospital Association, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Broaddus Hospital Association, Inc., in Emergency Medicine and Hospitalist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Broaddus Hospital (swing Bed) · NPI 1104989466
Medicare Defined Swing Bed Unit organization in Philippi, West Virginia. Organization record, active in the CMS NPPES registry since December 18, 2006.
## Identity
- **NPI:** 1104989466 (Entity type: Organization)
- **Enumerated:** December 18, 2006
- **Primary specialty:** Medicare Defined Swing Bed Unit · taxonomy 275N00000X
- **Legal business name:** Broaddus Hospital Association, Inc.
- **Organization subpart:** No
- **Authorized official:** Dana Gould, CEO
## Practice location
- **Address:** #1 HEALTHCARE DRIVE, MANSFIELD HILL, Philippi, WV 26416
- **Phone:** (304) 457-1760 · **Fax:** (304) 457-1516
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Hospitalist (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2019
- **Other identifiers:** Medicaid 0002167001 (WV)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104989466) · Data from the CMS NPPES public registry.