HIRAM W DAVIS MEDICAL CENTER

Q: What is the provider's specialty?

The provider's specialty is General Acute Care Hospital with taxonomy code 282N00000X.

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About Hiram W Davis Medical Center NPPES

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

HIRAM W DAVIS MEDICAL CENTER (NPI 1174630081) is a healthcare organization registered as a general acute care hospital in Petersburg, Virginia and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Jarvis T Griffin, Facility Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1174630081

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameCOMMONWEALTH OF VA HIRAM W DAVIS MEDICAL CENTER

Location Address26317 W WASHINGTON STPetersburg, VA 23803-0030

Mailing AddressPo Box 4030Petersburg, VA 23803-0030 · (804) 524-7112 · Fax (804) 524-4831

Phone(804) 524-7112

Fax(804) 524-4831

Organization SubpartNo

Authorized OfficialJarvis T GriffinFacility Director/ceo · (804) 524-7112

Enumeration DateAugust 24, 2006

Last NPPES UpdateJune 16, 2023

NPPES CertifiedJune 16, 2023

✔ NPI 1174630081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

26317 W WASHINGTON ST, Petersburg, VA 23803

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Other Names 1

Doing Business AsHiram W Davis Medical Center

Other Identifiers 1

Medicaid4901045VA

CLIA Laboratory Certificates CMS CLIA 2

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 49D2193237

Hiram W Davis Medical Center · Petersburg, VA

Active · expires Sep 17, 2026

CLIA Number49D2193237

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 18, 2024

Certificate Expiration DateSeptember 17, 2026

Laboratory DirectorTu Van Tran

Laboratory Phone(804) 524-7112

Laboratory LocationHiram W Davis Medical Center26317 West Washington Street, Building 110, Petersburg, VA 23803

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 49D0661249

Hiram W Davis Medical Center · Petersburg, VA

Active · expires Jan 2, 2027

CLIA Number49D0661249

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorCatherine Palmer

Laboratory Phone(804) 524-4600

Laboratory LocationHiram W Davis Medical CenterPo Box 4030 26317 W Washington Street, Petersburg, VA 23803

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Hiram W Davis Medical Center (CMS certification number 490104), from CMS Care Compare.

Acute Care Hospitals · Petersburg, VA

OwnershipGovernment - State

CMS Certification Number490104

LocationP O Box 4030Petersburg, VA 23803 · Petersburg City County · (804) 524-7112

Complications & Deaths 4

In-hospital fall-associated fracture rate

Cases too small to report

Iatrogenic pneumothorax rate

Cases too small to report

Pressure ulcer rate

Cases too small to report

Death rate for pneumonia patients

Cases too small to report

Unplanned Hospital Visits 2

Pneumonia (PN) 30-Day Readmission Rate

Cases too small to report

Hospital return days for pneumonia patients

Cases too small to report

Timely & Effective Care 1

Healthcare workers given influenza vaccination

57%

Other Providers at the Same Location NPPES 11

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

RONALD OMEGA FORBES MD

Psychiatry & Neurology (Psychiatry)

26317 W WASHINGTON ST, CENTRAL STATE HOSPITAL
PETERSBURG, VA 23803

Dinwiddie County (804) 524-7291

DR. JAMES LLOYD PATTERSON JR. MD

Family Medicine