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ST. CHARLES HEALTH SYSTEM INC. NPI 1295974491


NPI Information

NPI: 1295974491
Provider Name: ST. CHARLES HEALTH SYSTEM, INC.

Doing Business As: ST. CHARLES CANCER CENTER - BEND

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 38D0628433

Address:
2100 NE WYATT CT
SUITE 103
BEND, OR
ZIP 97701
Phone: (541) 706-4701
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ST. CHARLES HEALTH SYSTEM, INC. is an internal medicine in Bend, OR. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ST. CHARLES HEALTH SYSTEM, INC. NPI is 1295974491. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Charles Cancer Center - Bend.

The provider's business location address is:

2100 NE WYATT CT
SUITE 103
BEND, OR
ZIP 97701-702
Phone: (541) 706-4701
Fax: (541) 706-4751

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 38D0628433 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 12/24/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207R00000XInternal 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
15778180004MEDICARE NSCOREGON
2500625168MEDICAIDOREGON
3R154119MEDICARE PINOREGON

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: 11/14/2023

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.