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DR. CHARLES ADAMS BLAKELY M.D. NPI 1427119502


NPI Information

NPI: 1427119502
Provider Name: DR. CHARLES ADAMS BLAKELY, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
FORT DEFIANCE INDIAN HOSPITAL
CORNER ROUTE N7 AND N12
FORT DEFIANCE, AZ
ZIP 86504
Phone: (928) 729-8600
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DR. Charles Adams Blakely, M.D. is an emergency medicine in Fort Defiance, AZ. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Charles Adams Blakely, M.D. NPI is 1427119502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

FORT DEFIANCE INDIAN HOSPITAL
CORNER ROUTE N7 AND N12
FORT DEFIANCE, AZ
ZIP 86504
Phone: (928) 729-8600

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine22395COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000R4843OTHERNEW MEXICONM MED
2638679OTHERARIZONAAHCCCS
3D24091MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.