NPIMap

Organization Active NPI

Davis Memorial Hospital

Doing business as Buchannon Medical Center

  • Rural Health Clinic/Center
  • Buckhannon, WV
National Provider Identifier
1891564761
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DAVIS MEMORIAL HOSPITAL
Doing business as
Buchannon Medical Center
Practice address
11 N Locust St
Buckhannon, WV 26201-4707
Phone
(304) 472-1600
Fax
(304) 472-6055
NPI assigned
Dec 20, 2023
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

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
Brandy L Conrad Wildman
Title
Director of Revenue Cycle
Phone
(304) 637-3622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

11 N Locust St
Buckhannon, WV 26201-4707

Mailing address

PO Box 1484
Elkins, WV 26241-1484
Phone (304) 637-3622

Other names 1

  • Buchannon Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John S Veach MD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1891564761",
    "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": "304-637-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N LOCUST ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262014707",
            "telephone_number": "304-472-1600",
            "fax_number": "304-472-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "CONRAD WILDMAN",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "304-637-3622"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buchannon Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buchannon Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckhannon, 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.