BRAXTON VA CLINIC NPI 1194776823

NPI Information

  • NPI: 1194776823
  • Provider Name: BRAXTON VA CLINIC
  • Classification: Clinic/Center - 261QV0200X
  • Specialization: VA
  • Entity Type: Organization
  • Address: 707 ELK ST
    GASSAWAY, WV
    ZIP 26624
  • Phone: (304) 364-8941

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NPI Details

BRAXTON VA CLINIC is a va clinic center in Gassaway, WV. BRAXTON VA CLINIC NPI is 1194776823. The provider is registered as an organization entity type.

The provider's business location address is:

707 ELK ST
GASSAWAY, WV
ZIP 26624-113
Phone: (304) 364-8941
Fax: (304) 364-8943

The provider's authorized official is Barbara Mayerick .
The authorized official title is Director, Business Development and has the following contact phone number (202) 254-0339.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QV0200XClinic/CenterVAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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