Healthcare Provider Details

I. General information

NPI: 1033110564
Provider Name (Legal Business Name): MORGAN HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 11/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1949 HOSPITAL DR
MARTINSVILLE IN
46151-1861
US

IV. Provider business mailing address

1949 HOSPITAL DR P.O. BOX 1271
MARTINSVILLE IN
46151-1861
US

V. Phone/Fax

Practice location:
  • Phone: 765-349-4600
  • Fax: 765-349-6590
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT J PHILLIPS
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 765-349-6500