# DAVIS MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Davis Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013671767
- **Authorized official:** WILLIAM KOCH (VP FOR FINANCE)
- **Authorized official phone:** (304) 637-3196

## Contact information

- **Practice address:** 812 GORMAN AVE, ELKINS, WV 26241-3181
- **Practice address phone:** (304) 636-3300
- **Practice address fax:** (304) 637-3435
- **Mailing address:** 812 GORMAN AVE, ELKINS, WV 26241-3181
- **Mailing address phone:** (304) 636-3300
- **Mailing address fax:** (304) 637-3435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |
| 225C00000X | Rehabilitation Counselor | — | — | — |

## Other

- **Enumeration date:** 10/28/2021
- **Last updated:** 05/07/2024