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ST. CHARLES HEALTH SYSTEM INC. NPI 1255635785


NPI Information

NPI: 1255635785
Provider Name: ST. CHARLES HEALTH SYSTEM, INC.

Doing Business As: ST. CHARLES FAMILY CARE - REDMOND

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 38D2070234

Address:
211 NW LARCH AVE
REDMOND, OR
ZIP 97756
Phone: (541) 548-2164
Get Directions

ST. CHARLES HEALTH SYSTEM, INC. is a family medicine in Redmond, 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 1255635785. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Charles Family Care - Redmond.

The provider's business location address is:

211 NW LARCH AVE
REDMOND, OR
ZIP 97756-357
Phone: (541) 548-2164
Fax: (541) 548-0534

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 38D2070234 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2010 and was last updated on 12/23/2010.


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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R154119MEDICARE PINOREGON
20554990001MEDICARE NSCOREGON
3500625168MEDICAIDOREGON

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: 5/5/2024

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