# SAMUEL D MORRIS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** S. David Morris
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336392299
- **Authorized official:** MRS. LINDA JO BLENKER B.A. (BILLING MANAGER)
- **Authorized official phone:** (304) 263-8911

## Contact information

- **Practice address:** 209 CLOVER ST, MARTINSBURG, WV 25404-3803
- **Practice address phone:** (304) 263-8921
- **Mailing address:** 92 HALIFAX CT, MARTINSBURG, WV 25403-5075
- **Mailing address phone:** (304) 267-3810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 12716 | WV | Yes |

## Other

- **Enumeration date:** 10/23/2008
- **Last updated:** 01/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0057046000 | — | WV |
| 01 | — | 080020708 | RAILROAD INDIVIDUAL ID\# | WV |