ST. CHARLES HEALTH SYSTEM INC. NPI 1053509836

NPI Information

NPI: 1053509836
Provider Name: ST. CHARLES HEALTH SYSTEM, INC.

Doing Business As: ST. CHARLES - MADRAS

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

Address:
470 NE A STREET
MADRAS, OR
ZIP 97741
Phone: (541) 475-3882
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ST. CHARLES HEALTH SYSTEM, INC. is a medicare defined swing bed unit in Madras, OR. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. ST. CHARLES HEALTH SYSTEM, INC. NPI is 1053509836. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Charles - Madras.

The provider's business location address is:

470 NE A STREET
MADRAS, OR
ZIP 97741-844
Phone: (541) 475-3882

The provider's authorized official is Jennifer Welander .
The authorized official title is Cfo and has the following contact phone number (541) 382-4321.

The CLIA number assigned to this NPI record is 38D0628395 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 2/13/2017.

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	275N00000X	Medicare Defined Swing Bed Unit		14-1473	OREGON	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	Other Provider Identifier Issuer
1	800136	MEDICAID	OREGON
2	38Z324	MEDICARE OSCAR/CERTIFICATION	OREGON

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

NPI Synchronization or Removal

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