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Contact Information

SAMUEL D MORRIS
209 CLOVER ST
MARTINSBURG, WV25404-3803
 Phone: 304-263-8921
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for SAMUEL D MORRIS

NPI # 1336392299
LBN Legal business name SAMUEL D MORRIS
Authorized official LINDA BLENKER - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2008
Last updated 01/14/2009 - About 17 years ago
Identifiers
WV License # 12716
WV Medicaid 0057046000
WV Other 080020708 RAILROAD INDIVIDUAL ID#
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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