Organization
COMMONWEALTH OF VIRGINIA HIRAM W DAVIS MEDICAL CENTER
Active
Other names
Hiram W Davis Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARVIS T GRIFFIN DHA, LNHA, CPHQ (FACILITY DIRECTOR/CEO)
(804) 524-7112
Entity
Organization
Contact information
Practice address
ALBEMARLE AND 7TH STREETS, BUILDING 110, PETERSBURG, VA 23803-0030
(804) 524-7344
(804) 524-7148
Mailing address
PO BOX 4030, PETERSBURG, VA 23803-0030
(804) 524-7344
(804) 524-7148
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4967615
—
VA
Enumeration date
09/01/2006
Last updated
06/16/2023
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