BRAXTON VA CLINIC (NPI# 1194776823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194776823 |
| Entity Type | Organization |
| Organization Name | BRAXTON VA CLINIC |
| Practice Address |
707 Elk St Gassaway WV 26624-1113 |
| Practice Telephone | 3043648941 |
| Practice Fax Number | 3043648943 |
| Mailing Telephone | 3043648941 |
| Mailing Fax Number | 3043648943 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 2022540339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Street Address |
707 ELK ST |
| City | GASSAWAY |
| State | WV |
| Zip Code | 26624-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518393776 | Joshua Conan Culver | Dentist | 715 Elk Street, Gassaway, WV 26624 | 2013-09-19 |
| 1174637805 | Kevin C Boring | Specialist | 155 Reston Place, Gassaway, WV 26624 | 2006-08-19 |
| 1699912212 | Julie Ann Calef | Speech-Language Pathologist | 100 Hoylman Dr, Gassaway, WV 26624 | 2009-01-20 |
| 1336317916 | Elizabeth Suzanne Gibson | Specialist | 100 Hoylman Drive, Gassaway Glenville Physical Therapy Specialists, Inc., Gassaway, WV 26624 | 2008-02-15 |
| 1932383049 | Tim A Robbins | Pharmacist | 105 Duncan Road, Marlinton, WV 26624 | 2007-12-26 |
| 1447350228 | Gassaway Glenville Physical Therapy Specialits, Inc | Specialist | 155 Reston Place, Gassaway, WV 26624 | 2006-09-22 |
| 1912961202 | Chad J Lancaster | Dentist | 715 Elk St, Gassaway, WV 26624-1113 | 2006-04-13 |
| 1881171726 | Chad J Lancaster, Dds, Pllc | Clinic/Center | 715 Elk St, Gassaway, WV 26624-1113 | 2018-07-24 |
| 1891271474 | Colter Seth Taylor | Dentist | 715 Elk St, Gassaway, WV 26624-1113 | 2018-07-17 |
| 1750982997 | Wvuhs Home Care, LLC | Home Health | 64 State St, Gassaway, WV 26624-1132 | 2020-11-04 |
| Find all providers in zip 26624 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790739118 | Clarksburg Vamc | Clinic/Center | 40 Reston Pl, Gassaway, WV 26624-7899 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063885754 | Beckley Vamc | Clinic/Center | 1780 Stadium Dr, Bluefield, WV 24701-3322 | 2015-11-04 |
| 1477947331 | Beckley Vamc | Clinic/Center | 150 Courthouse Rd, Princeton, WV 24740-2419 | 2015-03-27 |
| 1861809816 | Huntington Vamc | Clinic/Center | 15 Lenore Business Mall, 2867 Route 65, Williamson, WV 25661-9199 | 2014-07-22 |
| 1861794067 | Beckley Vamc | Clinic/Center | 228 Shamrock Ln, Ronceverte, WV 24970-8380 | 2010-11-22 |
| 1912941501 | Martinsburg Vamc | Clinic/Center | 15 Grant St, Petersburg, WV 26847-1613 | 2006-06-15 |
| 1669412037 | Clarksburg Vamc | Clinic/Center | 260 Spruce St, Parsons, WV 26287-1015 | 2006-06-07 |
| 1194771071 | Martinsburg Vamc | Clinic/Center | 91 Pine Street, Franklin, WV 26807-9998 | 2006-05-25 |
| 1144271883 | Huntington Vamc | Clinic/Center | 700 Technology Dr, South Charleston, WV 25309-8571 | 2006-05-15 |
| 1619475027 | Huntington Vamc | Clinic/Center | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2018-01-31 |
| 1619342870 | Clarksburg Vamc | Clinic/Center | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2015-12-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.