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ST. CHARLES HEALTH SYSTEM INC. NPI 1023331303


NPI Information

NPI: 1023331303
Provider Name: ST. CHARLES HEALTH SYSTEM, INC.

Doing Business As: ST. CHARLES MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2500 NE NEFF RD
BEND, OR
ZIP 97701
Phone: (541) 382-4321
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ST. CHARLES HEALTH SYSTEM, INC. is a family medicine in Bend, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. CHARLES HEALTH SYSTEM, INC. NPI is 1023331303. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Charles Medical Group.

The provider's business location address is:

2500 NE NEFF RD
BEND, OR
ZIP 97701-015
Phone: (541) 382-4321

The provider's authorized official is Matthew Swafford .
The authorized official title is Chief Financial Officer and has the following contact phone number (541) 382-4321.

The enumeration date for this NPI number is 3/1/2010 and was last updated on 5/5/2023.


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
1207Q00000XFamily MedicineYes

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
1500625168MEDICAIDOREGON

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

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