NPI | 1639278518 |
---|---|
Doing Business As | BRAXTON COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | KIMBERLY D KNIGHT CFO 304-364-1128 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: WV 031428) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 002) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2022-07-21 |