Organization
MORRIS SALES HOSPITAL SHOPPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN RICHARD MORRIS JR. (CHIEF EXECUTIVE OFFICER)
(304) 424-6363
Entity
Organization
Contact information
Practice address
4015 E 7TH ST, PARKERSBURG, WV 26104-3869
(304) 424-6363
(304) 422-7396
Mailing address
4015 E 7TH ST, PARKERSBURG, WV 26104-3869
(304) 424-6363
(304) 422-7396
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705416
BCBS PROVIDER NUMBER
WV
05
—
0147983000
—
WV
05
—
0220540
—
OH
Enumeration date
05/02/2006
Last updated
05/05/2020
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