Charles B Haden


Address: Rr, Suite 250, Gum Spring, VA 23065
Phone: 8045566264

Charles B Haden (NPI# 1477623940, PAC ID# 7416053913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1477623940
PAC ID by PECOS 7416053913
Professional Enrollment ID I20070430000374
Full Name Charles B Haden
Address Rr
Suite 250
Gum Spring
VA 23065
Phone Number 8045566264
Gender M
Credential MD
Medical School UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year 1982
Primary Specialty FAMILY PRACTICE
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490021 CENTRA HEALTH, INC
490118 HENRICO DOCTORS' HOSPITAL
490077 MARTHA JEFFERSON HOSPITAL
490009 UNIVERSITY OF VIRGINIA MEDICAL CENTER

Other Locations

Address Phone Organization
4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 4342634000 BLUE RIDGE HEALTH CENTER INC
Rr, Suite 250, Gum Spring, VA 23065 8045566264
Rr, Gum Spring, VA 23065 8045566264

Organization Information

Office Location

Street Address RR
SUITE 250
City GUM SPRING
State VA
Zip 23065

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Competitor

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City GUM SPRING
Zip Code 23065
Specialty FAMILY PRACTICE
City + Specialty GUM SPRING + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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