| NPI | 1104989466 |
|---|---|
| Other Name | BROADDUS HOSPITAL (SWING BED) |
| Entity Type | Organization |
| Authorized Contact | DANA L. GOULD CEO 304-457-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: WV 96) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2019-07-09 |