Hiram W Davis Medical Center

LBN: Commonwealth Of Va Hiram W Davis Medical Center
Hiram W Davis Medical Center is an health care organization with primary practice located at 26317 W Washington St , Petersburg VA 23803-0030. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Commonwealth Of Va Hiram W Davis Medical Center can be contacted via phone (804) 524-7112, or through Griffin, Jarvis T via phone (804) 524-7112.

Contact Information

Primary practice address
26317 W Washington St Petersburg VA 23803-0030
Fax: (804) 524-4831
Website:
Authorized official contact:
Name: Griffin, Jarvis T DHA, LNHA, CPHQ

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1174630081
LBN Legal business name Commonwealth Of Va Hiram W Davis Medical Center
DBA Doing business as Hiram W Davis Medical Center
Authorized official Griffin, Jarvis T DHA, LNHA, CPHQ
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Jun 16th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174630081 NPPES
Virginia MEDICAID 4901045

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