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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
E4241 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS & BLUE SHIELD | 0049RE | 01 |
TX | 063645801 | 05 | |
TX | 1225468-01 | 05 |
Other Name | Type Code |
---|---|
Cadenhead Rural Health Clinic | Doing Business As Name - Organization |
Street Address |
1417 NORTH 1ST ST SUITE A |
City | HASKELL |
State | TX |
Zip Code | 79521-0938 |
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 |
Find all providers in zip 79521 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
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Find all providers with the same taxonomy |
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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.