BROADDUS HOSPITAL ASSOCIATION, INC. – NPI #1548246622
General Acute Care Hospital

BROADDUS HOSPITAL ASSOCIATION, INC. is a general acute care hospital located in PHILIPPI, WV. NPPES has assigned the NPI number 1548246622 to BROADDUS HOSPITAL ASSOCIATION, INC. on December 20, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 7 years ago on Jul 09, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROADDUS HOSPITAL ASSOCIATION, INC. below.

NPI Profile for
BROADDUS HOSPITAL ASSOCIATION, INC.

NPI Number
1548246622
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROADDUS HOSPITAL ASSOCIATION, INC.
Primary location
#1 HEALTHCARE DRIVE
MANSFIELD HILL
PHILIPPI, WV 26416
Phone: (304) 457-1760 Fax: (304) 457-1516
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANA GOULD
CEO
Phone: (304) 457-8155
Updated
Identifiers

Identifiers for BROADDUS HOSPITAL ASSOCIATION, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE RAILROADWVCE1018
MEDICAIDWV0002167000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 WV 96

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.