DAVIS MEDICAL CENTER
NPI 1013671767
Obstetrics & Gynecology in Elkins, WV

Active since October 28, 2021CLIA 53D0666493 · Waiver
812 GORMAN AVE, ELKINS, WV 26241(304) 636-3300(304) 637-3435 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Jun 21, 2023 (2 updates tracked since 2023).

About Davis Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVIS MEDICAL CENTER (NPI 1013671767) is a healthcare organization registered as an obstetrics & gynecology in Elkins, West Virginia and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists William Koch, Vp For Finance, as its authorized official.

NPPES Registry Identity

NPI1013671767
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameDAVIS MEMORIAL HOSPITAL
Location Address812 GORMAN AVEElkins, WV 26241-3181
Mailing Address812 Gorman AveElkins, WV 26241-3181 · (304) 636-3300 · Fax (304) 637-3435
Fax(304) 637-3435
Organization SubpartNo
Authorized OfficialWilliam KochVp For Finance · (304) 637-3196
Enumeration DateOctober 28, 2021
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1013671767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedRehabilitation CounselorTaxonomy 225C00000X
812 GORMAN AVE, Elkins, WV 26241

Other Names 1

Doing Business AsDavis Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D0666493

Davis Memorial Hospital Nursing Svc · Elkins, WV
Active · expires Oct 15, 2026
CLIA Number53D0666493
Laboratory TypeHospital
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorDiana Landsverk
Laboratory Phone(304) 636-3300
Laboratory LocationDavis Memorial Hospital Nursing Svc812 Gorman Avenue, Elkins, WV 26241
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
812 GORMAN AVE
ELKINS, WV 26241
Podiatrist (Foot Surgery)
812 GORMAN AVE
ELKINS, WV 26241
Nurse Anesthetist, Certified Registered
812 GORMAN AVE
ELKINS, WV 26241
Family Medicine
812 GORMAN AVE
ELKINS, WV 26241
Audiologist-Hearing Aid Fitter
812 GORMAN AVE
ELKINS, WV 26241
Advanced Practice Midwife
812 GORMAN AVE
ELKINS, WV 26241
Surgery
812 GORMAN AVE
ELKINS, WV 26241
Specialist/Technologist (Athletic Trainer)
812 GORMAN AVE
ELKINS, WV 26241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davis Memorial Hospital's NPI number?

The NPI number for Davis Memorial Hospital is 1013671767. It was assigned to this organization in the NPPES registry on October 28, 2021. The provider is doing business as Davis Medical Center.

Where is Davis Memorial Hospital located?

Davis Memorial Hospital is located at 812 Gorman Ave, Elkins, WV 26241. The listed phone number is (304) 636-3300.

What is Davis Memorial Hospital's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Davis Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D0666493) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Davis Memorial Hospital was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.