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1942274956

NPI Code Detail

MEDICARE: DR. CHARLES W JAMES M.D.

MEDICARE: DR. CHARLES W JAMES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD00037184	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R0000WFBTV	OTHER	OR	GROUP MEDICARE NORTH BEND MEDICAL CENTER
3	20042093	OTHER	WA	RAIL ROAD MEDICARE
4	P01250297	OTHER	OR	RAILROAD MEDICARE-OREGON

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	127294	OTHER	WA	L&I
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1407812365	OTHER	OR	GROUP NPI NORTH BEND MEDICAL CENTER
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	93-0635514	OTHER	OR	GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER

General Provider Information

NPI Number	:	1942274956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES W JAMES M.D.

Provider Business Mailing Address
First Line	:	1900 WOODLAND DR
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2045
Country	:	US
Telephone Number	:	541-267-5151
Fax Number	:	541-266-4501

Provider Business Practice Location Address
First Line	:	1900 WOODLAND DR
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2045
Country	:	US
Telephone Number	:	541-267-5151
Fax Number	:	541-266-4501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	01/27/2014

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Directions to “ DR. CHARLES W JAMES M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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