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BRAXTON COMMUNITY HEALTH CENTER
NPI 1639278518
Clinic/Center - Rural Health in Gassaway, WV

Active since September 21, 2006CLIA 51D0880346 · Waiver
617 RIVER ST, GASSAWAY, WV 26624(304) 364-2401 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Apr 1, 2021, Nov 20, 2018 (3 updates tracked since 2018).

About Braxton Community Health Center NPPES

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

BRAXTON COMMUNITY HEALTH CENTER (NPI 1639278518) is a healthcare organization registered as a rural health in Gassaway, West Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 11, 2026, maintains a secondary practice location in Gassaway, and lists Kimberly D Knight, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639278518
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBRAXTON COUNTY MEMORIAL HOSPITAL
Location Address617 RIVER STGassaway, WV 26624-1137
Mailing Address100 Hoylman DrGassaway, WV 26624-9321 · (304) 364-1093
Phone(304) 364-2401
Organization SubpartNo
Authorized OfficialKimberly D KnightCfo · (304) 364-1128
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1639278518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in WV · 031428
Also ListedFamily MedicineTaxonomy 207Q00000X · License 002 (WV)
617 RIVER ST, Gassaway, WV 26624
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Other Names 1

Doing Business AsBraxton Community Health Center

Secondary Practice Location 1

Location 1100 Hoylman DrGassaway, WV 26624-9321 · Phone (304) 364-1093

Other Identifiers 2

OtherBR5113081WV · Medicare Part B Group #
Medicaid5360015000WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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 51D0880346

Braxton Community Health Center · Gassaway, WV
Active · expires Dec 11, 2026
CLIA Number51D0880346
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorDr. Darla Gant
Laboratory Phone(304) 364-2401
Laboratory LocationBraxton Community Health Center671 River Street, Gassaway, WV 26624
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

JESSICA LYNN KING LPN
Licensed Practical Nurse
617 RIVER ST
GASSAWAY, WV 26624
Braxton County (304) 364-2401
BRAXTON HEALTH ASSOCIATES, INC
Family Medicine
617 RIVER ST
GASSAWAY, WV 26624
Braxton County (304) 364-8941
MRS. BETHANY RUTH RATLIFF N.P.
Nurse Practitioner (Family)
617 RIVER ST
GASSAWAY, WV 26624
Braxton County (304) 364-8941

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 Braxton County Memorial Hospital's NPI number?

The NPI number for Braxton County Memorial Hospital is 1639278518. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Braxton Community Health Center.

Where is Braxton County Memorial Hospital located?

Braxton County Memorial Hospital is located at 617 River St, Gassaway, WV 26624. The listed phone number is (304) 364-2401.

What is Braxton County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Braxton County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0880346) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Braxton County Memorial Hospital accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Braxton County Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Braxton County Memorial Hospital was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.