# DAVIS MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1891564761
- **Authorized official:** BRANDY L CONRAD WILDMAN (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (304) 637-3622

## Contact information

- **Practice address:** 11 N LOCUST ST, BUCKHANNON, WV 26201-4707
- **Practice address phone:** (304) 472-1600
- **Practice address fax:** (304) 472-6055
- **Mailing address:** PO BOX 1484, ELKINS, WV 26241-1484
- **Mailing address phone:** (304) 637-3622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 05/07/2024