NPIMap

Organization Active NPI

Davis Memorial Hospital

Doing business as Laurel Place

  • Psychiatric Hospital Unit
  • Elkins, WV
National Provider Identifier
1770048043
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
DAVIS MEMORIAL HOSPITAL
Doing business as
Laurel Place
Practice address
812 Gorman Ave
Elkins, WV 26241-3181
Phone
(304) 636-3300
Fax
(304) 637-3867
NPI assigned
Jan 31, 2019
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVIS MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Lloyd Koch
Title
Cfo
Phone
(304) 637-3196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

812 Gorman Ave
Elkins, WV 26241-3181

Mailing address

PO Box 1484
Elkins, WV 26241-1484
Phone (304) 636-3300

Other names 1

  • Laurel Place Doing business as

National Provider Directory

National Provider Directory
Part of
Davis Memorial Hospekg

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1770048043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1484",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262411484",
            "telephone_number": "304-636-3300",
            "fax_number": "304-637-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-636-3300",
            "fax_number": "304-637-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVIS MEMORIAL HOSPITAL",
        "enumeration_date": "2019-01-31",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-637-3196"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laurel Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.