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DEBRA C SAMS DO NPI 1073700837


NPI Information

NPI: 1073700837
Provider Name: DEBRA C SAMS DO
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 51D0691893

Address:
122 MAPLEWOOD AVENUE
RONCEVERTE, WV
ZIP 24970
Phone: (304) 645-4406
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DEBRA C SAMS DO is a family medicine in Ronceverte, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DEBRA C SAMS DO NPI is 1073700837. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

122 MAPLEWOOD AVENUE
RONCEVERTE, WV
ZIP 24970
Phone: (304) 645-4406

The provider's authorized official is Debra C Crites-sams .
The authorized official title is Owner/physician and has the following contact phone number (304) 645-4406.

The CLIA number assigned to this NPI record is 51D0691893 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 11/27/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineE35409WEST 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13810010441MEDICAIDWEST VIRGINIA
2E35409MEDICARE UPIN

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: 5/5/2024

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