ST. CHARLES HEALTH SYSTEM INC. NPI 1023117751

NPI Information

NPI: 1023117751
Provider Name: ST. CHARLES HEALTH SYSTEM, INC.

Doing Business As: ST. CHARLES MEDICAL SUPPLY - BEND

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

CLIA Number: 38D2028537

Address:
2042 NE WILLIAMSON CT
BEND, OR
ZIP 97701
Phone: (541) 706-6905
Get Directions

ST. CHARLES HEALTH SYSTEM, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Bend, OR. ST. CHARLES HEALTH SYSTEM, INC. NPI is 1023117751. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Charles Medical Supply - Bend.

The provider's business location address is:

2042 NE WILLIAMSON CT
BEND, OR
ZIP 97701-760
Phone: (541) 706-6905
Fax: (541) 706-6906

The provider's authorized official is Karen M Shepard .
The authorized official title is Sr Vp Finance / Cfo and has the following contact phone number (541) 706-7707.

The CLIA number assigned to this NPI record is 38D2028537 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 3/27/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	500625168	MEDICAID	OREGON
2	R154119	MEDICARE PIN	OREGON
3	5778180002	MEDICARE NSC

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »