BELLE HAVEN FAMILY MEDICINE


Address: 2867 Duke St, Alexandria, VA 22314-4512
Phone: 7032127397

BELLE HAVEN FAMILY MEDICINE (NPI# 1184769200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184769200
Entity Type Organization
Organization Name BELLE HAVEN FAMILY MEDICINE
Practice Address 2867 Duke St
Alexandria
VA 22314-4512
Practice Telephone 7032127397
Practice Fax Number 7032127399
Mailing Telephone 7032127397
Mailing Fax Number 7032127399
Enumeration Date 2007-02-20
Last Update Date 2020-08-22
Authorized Official Name DR. WARREN BASIL SHAFFER (MEDICAL DIRECTOR)
Authorized Official Telephone 7032127397
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 0101057177 VA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FEDERAL DEA NUMBER BS5769433 01
VA STATE LICENSE NUMBER 0101057177 01

Office Location

Street Address 2867 DUKE ST
City ALEXANDRIA
State VA
Zip Code 22314-4512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346232014 Mark Rodney King Anesthesiology 2867 Duke St, Alexandria, VA 22314-4512 2005-08-18
1295066652 Alexandria Interventional Pain Management Anesthesiology 2867 Duke St, Alexandria, VA 22314-4512 2010-01-26
1346385457 Warren Basil Shaffer Family Medicine 2867 Duke St, Alexandria, VA 22314-4512 2007-02-20

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245853803 Alexandria Primary Care Clinic Clinic/Center 224 Pecan Park Ave Rm B1, Alexandria, LA 71303-3308 2020-05-18
1316461007 Integrated Healthcare Solutions LLC Clinic/Center 139 Woods Edge Dr, Alexandria, LA 71303-7130 2017-08-03
1912367764 Alexandria Midwife Clinic/Center 2816 Schooley Dr, Alexandria, VA 22306-1638 2016-03-07
1457735086 Ali and Mady Dental Anesthesiology Pllc Clinic/Center 5284 Dawes Ave, Alexandria, VA 22311-1404 2015-07-14
1215226600 Cardinal Chiropractic of Alexandria LLC Clinic/Center 460 Northside Dr Ne Ste 10, Alexandria, MN 56308-2486 2011-04-06
1710283650 Urgent Care of Mount Vernon, LLC Clinic/Center 7609 B Richmond Hwy, Alexandria, VA 22306 2011-02-09
1861646887 Allergy & Asthma Centernof Central La Clinic/Center 3832 Independence Drive, Alexandria, LA 71301 2008-11-05
1073774030 Alexandria Rheumatology, LLC Clinic/Center 3311 Prescott Rd Ste 211, Alexandria, LA 71301-3983 2008-06-23
1932167772 Alexandria Eye Clinic P.a. Clinic/Center 1501 Hawthorne St, Alexandria, MN 56308-2512 2006-05-02
1740822246 Alexandria Medical Center, Inc Clinic/Center 3606 Forest Dr, Alexandria, VA 22302-1005 2019-10-16
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Competitor

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City ALEXANDRIA
Zip Code 22314

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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