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SAMUEL D MORRIS NPI 1336392299


NPI Information

NPI: 1336392299
Provider Name: SAMUEL D MORRIS

Doing Business As: S. DAVID MORRIS

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
209 CLOVER ST
MARTINSBURG, WV
ZIP 25404
Phone: (304) 263-8921
Get Directions

SAMUEL D MORRIS is a nursing facility intermediate care facility in Martinsburg, WV. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. SAMUEL D MORRIS NPI is 1336392299. The provider is registered as an organization entity type.
The provider Is Doing Business As S. David Morris.

The provider's business location address is:

209 CLOVER ST
MARTINSBURG, WV
ZIP 25404-803
Phone: (304) 263-8921

The provider's authorized official is Linda Jo Blenker .
The authorized official title is Billing Manager and has the following contact phone number (304) 263-8911.

The enumeration date for this NPI number is 10/23/2008 and was last updated on 1/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1313M00000XNursing Facility/Intermediate Care Facility12716WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10057046000MEDICAIDWEST VIRGINIA
2080020708OTHERWEST VIRGINIARAILROAD INDIVIDUAL ID#
30522433MEDICARE PINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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