COMMONWEALTH OF VIRGINIA HIRAM W DAVIS MEDICAL CENTER (NPI# 1447362660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447362660 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF VIRGINIA HIRAM W DAVIS MEDICAL CENTER |
| Other Organization Name | HIRAM W DAVIS MEDICAL CENTER |
| Practice Address |
Albemarle and 7th Streets Building 110 Petersburg VA 23803-0030 |
| Mailing Address |
Po Box 4030 Petersburg VA 23803-0030 |
| Practice Telephone | 8045247344 |
| Practice Fax Number | 8045247148 |
| Mailing Telephone | 8045247344 |
| Mailing Fax Number | 8045247148 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID A ROSENQUIST (FACILITY DIRECTOR) |
| Authorized Official Telephone | 8045247344 |
| Authorized Official Credential | MHA NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4967615 | 05 |
| Other Name | Type Code |
|---|---|
| Hiram W Davis Medical Center | Doing Business As Name - Organization |
| Street Address |
ALBEMARLE AND 7TH STREETS BUILDING 110 |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-0030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786100 | Horizon Behavioral Health | Intermediate Care Facility, Mental Illness | 999 Lakeview Dr, Lynchburg, VA 24502-2803 | 2018-07-10 |
| 1790158749 | Monica Smith | Intermediate Care Facility, Mental Illness | 220 Brandon Rd, Richmond, VA 23224-1214 | 2015-11-12 |
| 1639513781 | City of Virginia Beach Human Services | Intermediate Care Facility, Mental Illness | 2525 Lifetime Cir, Virginia Beach, VA 23456-1499 | 2013-04-19 |
| 1073796694 | River City Residences, LLC | Intermediate Care Facility, Mental Illness | 10201 Duryea Dr, Richmond, VA 23235-1705 | 2007-12-06 |
| 1891863973 | Theresa'-venia, LLC | Intermediate Care Facility, Mental Illness | 1536 Centre Ave, Portsmouth, VA 23704-6802 | 2006-11-30 |
| 1467475830 | Skyline Terrace Convalescent Home | Intermediate Care Facility, Mental Illness | 123 Lakeview Road, Woodstock, VA 22664-0558 | 2006-07-25 |
| 1376523225 | Hillcrest Nursing Home Inc | Intermediate Care Facility, Mental Illness | 110 Lauck Dr, Winchester, VA 22603-4282 | 2006-01-18 |
| 1073030383 | Lioness Community Care of Virginia LLC | Intermediate Care Facility, Mental Illness | 4445 Corporation Ln, Virginia Beach, VA 23462-3262 | 2017-08-28 |
| 1205165636 | Behavioral Health Arlington County Dhs | Intermediate Care Facility, Mental Illness | 1725 N George Mason Dr, Arlington, VA 22205-3675 | 2009-12-14 |
| 1316165749 | Crc Health | Intermediate Care Facility, Mental Illness | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
Please comment or provide details below to improve the information on COMMONWEALTH OF VIRGINIA HIRAM W DAVIS MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.