# COMMONWEALTH OF VA HIRAM W DAVIS MEDICAL CENTER

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

## Provider details

- **NPI number:** 1184732083
- **Authorized official:** DR. JARVIS T GRIFFIN DHA, LNHA, CPHQ (FACILITY DIRECTOR/CEO)
- **Authorized official phone:** (804) 524-7112

## Contact information

- **Practice address:** 26317 W WASHINGTON ST, PETERSBURG, VA 23803-0030
- **Practice address phone:** (804) 524-7112
- **Practice address fax:** (804) 524-4831
- **Mailing address:** PO BOX 4030, PETERSBURG, VA 23803-0030
- **Mailing address phone:** (804) 524-7112
- **Mailing address fax:** (804) 524-4831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4957504 | — | VA |