CHARLES W CADENHEAD M D


Address: 1417 North 1st St Suite A, Haskell, TX 79521-0938
Phone: 9408642636

CHARLES W CADENHEAD M D (NPI# 1245491026) 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) 1245491026
Entity Type Organization
Organization Name CHARLES W CADENHEAD M D
Other Organization Name CADENHEAD RURAL HEALTH CLINIC
Practice Address 1417 North 1st St Suite A
Haskell
TX 79521-0938
Practice Telephone 9408642636
Practice Fax Number 9408643009
Mailing Telephone 9408642636
Mailing Fax Number 9408643009
Enumeration Date 2008-06-24
Last Update Date 2008-10-09
Authorized Official Name MR. CHARLES WAYNE CADENHEAD (OWNER)
Authorized Official Telephone 9408642636
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
E4241 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE CROSS & BLUE SHIELD 0049RE 01
TX 063645801 05
TX 1225468-01 05

Other Provider/Organization Names

Other Name Type Code
Cadenhead Rural Health Clinic Doing Business As Name - Organization

Office Location

Street Address 1417 NORTH 1ST ST SUITE A
City HASKELL
State TX
Zip Code 79521-0938

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902198880 Ruth Lavone Ebangit Family Medicine 1 North Ave N, Haskell, TX 79521 2011-05-10
1225060395 William Delbert Mcsmith Jr. Family Medicine 1400 S 1st Street, Haskell, TX 79521 2006-07-07
1174531735 Charles W Cadenhead Family Medicine 1417 North 1st Street Suite A, Haskell, TX 79521-0938 2006-08-03
1861401853 Joe Allen Yates Family Medicine 1417 North 1st Street Suite A, Haskell, TX 79521-0938 2006-08-07
1033516117 Wal-mart Stores Texas LLC Durable Medical Equipment & Medical Supplies 5 N 14th St, Haskell, TX 79521-3106 2014-12-04
1912408782 Michelle Rebecca Espinoza Licensed Vocational Nurse 606 N 14th St, Haskell, TX 79521-3406 2018-02-26
1043818636 Brittany Diane Moore Licensed Practical Nurse 900 N 7th St, Haskell, TX 79521-4410 2020-10-15
1437510930 Haskell Cisd Local Education Agency (LEA) 605 N Avenue E, Haskell, TX 79521-4515 2016-03-10
1184607897 Haskell County Hospital Medicare Defined Swing Bed Unit 1 Avenue N, Haskell, TX 79521-5415 2005-11-28
1588601926 Leon D Joplin Family Medicine 1400 S 1st St, Haskell, TX 79521-5426 2006-06-02
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

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Competitor

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City HASKELL
Zip Code 79521

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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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