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General NPI Number Information
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NPI Number | 1720275571
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Entity Type | Organization
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Legal Business Name | DAVIS MEMORIAL HOSPITAL GROUP
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 812 GORMAN AVENUE
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City | ELKINS
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State | WV
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Zip | 26241
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Country | US
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Telephone | 304-636-3300
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Fax | 304-637-3435
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Provider Business Mailing Address
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Address Line | 812 GORMAN AVENUE
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City | ELKINS
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State | WV
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Zip | 26241
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Country | US
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Telephone | 304-636-3300
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Fax | 304-637-3435
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Authorized Official
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Title or Position | VP FINANCE
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Name | REBECCA J HAMMER
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Credential |
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Telephone | 304-636-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 141
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License Number State | WV
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