ST. CHARLES HEALTH SYSTEM, INC. (NPI# 1144524273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144524273 |
| Entity Type | Organization |
| Organization Name | ST. CHARLES HEALTH SYSTEM, INC. |
| Other Organization Name | ST. CHARLES IMMEDIATE CARE CLINIC |
| Practice Address |
2600 Ne Neff Rd Bend OR 97701-6337 |
| Mailing Address |
Po Box 1420 Redmond OR 97756-0400 |
| Practice Telephone | 5417063700 |
| Practice Fax Number | 5417063730 |
| Mailing Telephone | 5415266556 |
| Mailing Fax Number | 5417063765 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | KAREN M SHEPARD (SR VP FINANCE / CFO) |
| Authorized Official Telephone | 5417067707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500625168 | 05 |
| Other Name | Type Code |
|---|---|
| ST. CHARLES IMMEDIATE CARE CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427140870 | St. Charles Health System, Inc. | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Avenue, Redmond, OR 97756 | 2006-09-29 |
| 1356389894 | St. Charles Health System, Inc. | Emergency Medicine | 470 Ne A Street, Madras, OR 97741 | 2006-06-04 |
| 1144215542 | St. Charles Health System, Inc. | Home Health | 2275 Ne Doctors Dr Ste 7, Bend, OR 97701-6324 | 2005-09-13 |
| 1164068938 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2019-11-26 |
| 1720417710 | St. Charles Health System, Inc. | Clinic/Center | 630 N Arrowleaf Trl, Sisters, OR 97759-2610 | 2013-11-11 |
| 1891099933 | St. Charles Health System, Inc. | Psychiatry & Neurology | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2011-01-04 |
| 1447554589 | St. Charles Health System, Inc. | Obstetrics & Gynecology | 213 Nw Larch Ave, Redmond, OR 97756-1323 | 2011-01-04 |
| 1619271756 | St. Charles Health System, Inc. | Internal Medicine | 2100 Ne Wyatt Ct, Suite 103, Bend, OR 97701-7702 | 2011-01-04 |
| 1528362860 | St. Charles Health System, Inc. | Internal Medicine | 655 Nw Jackpine Avenue, Redmond, OR 97756 | 2010-12-30 |
| 1437453776 | St. Charles Health System, Inc. | Psychiatry & Neurology | 655 Nw Jackpine Avenue, Redmond, OR 97756-1334 | 2010-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ST. CHARLES HEALTH SYSTEM, INC. | 2500 Ne Neff Rd, Bend, OR 97701 |
| Street Address |
2600 NE NEFF RD |
| City | BEND |
| State | OR |
| Zip Code | 97701-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922084151 | Walter Lovell Bogart IIi | Ophthalmology | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2005-12-20 |
| 1437614997 | Marrett Hild | Physician Assistant | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2019-02-08 |
| 1851769160 | Kelsie Flynn Bostwick | Pharmacist | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2015-09-03 |
| 1992184212 | Joslyn Gibson | Physician Assistant | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2015-05-19 |
| 1912269168 | Kathleen Ann Wachtler | Family Medicine | 2600 Ne Neff Rd, Bend, OR 97701 | 2012-06-13 |
| 1730447350 | Sarah E Serrano | Internal Medicine | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2012-05-02 |
| 1366723611 | Karen E Siegel | Nurse Practitioner | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2011-08-31 |
| 1457645533 | Sarah Elizabeth Dawson | Internal Medicine | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2011-06-06 |
| 1811200066 | Allison Ann Jones | Registered Nurse | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2010-07-16 |
| 1366765927 | Cascade Healthcare Community | Durable Medical Equipment & Medical Supplies | 2600 Ne Neff Rd, Suite 5, Bend, OR 97701-6337 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1083252472 | Driven Enterprises PC | Family Medicine | 20700 Wandalea Dr, Bend, OR 97701-1594 | 2019-12-16 |
| 1407404668 | Taylor Rose Stockton | Family Medicine | 19700 Sunshine Way, Bend, OR 97702-1984 | 2019-08-30 |
| 1366780066 | Anthony Gunsul | Family Medicine | 61250 Se Coombs Place, Bend, OR 97702 | 2013-01-30 |
| 1669776050 | Ralph Verlin Litchfield | Family Medicine | 21260 Bear Creek Rd, Bend, OR 97701-9602 | 2010-12-29 |
| 1750681391 | Kevin Michael Fickenscher Sr. | Family Medicine | 3499 Nw Braid Drive, Bend, OR 97701-8682 | 2010-10-29 |
| 1902030844 | Audrey H Davey | Family Medicine | 18976 Nw Squirreltail Loop, Bend, OR 97703-5932 | 2009-05-06 |
| 1366609422 | Jon Arthur Blackman | Family Medicine | 2456 Nw Sacagawea Ln, Bend, OR 97701-5722 | 2008-05-16 |
| 1316060163 | West Bend Family Medicine | Family Medicine | 2855 Nw Crossing Dr., Suite 102, Bend, OR 97703 | 2007-04-09 |
| 1962544106 | Paul Vancamp | Family Medicine | 115 Sw Allen Rd, Bend, OR 97702-3170 | 2007-02-13 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.