ST. CHARLES HEALTH SYSTEM, INC. (NPI# 1407178528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407178528 |
| Entity Type | Organization |
| Organization Name | ST. CHARLES HEALTH SYSTEM, INC. |
| Other Organization Name | ST. CHARLES FAMILY CARE - PRINEVILLE |
| Practice Address |
384 Se Combs Flat Rd Suite 1200 Prineville OR 97754-2562 |
| Mailing Address |
Po Box 7287 Bend OR 97708-7287 |
| Practice Telephone | 5414476263 |
| Practice Fax Number | 5414478724 |
| Mailing Telephone | 5414476263 |
| Mailing Fax Number | 5414478724 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | JENNIFER WELANDER (CFO) |
| Authorized Official Telephone | 5413824321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500642552 | 05 |
| Other Name | Type Code |
|---|---|
| St. Charles Family Care - Prineville | 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 |
| 1144524273 | St. Charles Health System, Inc. | Family Medicine | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 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 |
| 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 |
384 SE COMBS FLAT RD SUITE 1200 |
| City | PRINEVILLE |
| State | OR |
| Zip Code | 97754-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831165232 | Linda Craska Selby | Family Medicine | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2006-02-24 |
| 1205305083 | Cep America - Neurology PC | Psychiatry & Neurology | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2018-11-21 |
| 1487129557 | Caitlin M Speck | Psychologist | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2018-10-04 |
| 1962948976 | James Howard Long | Pharmacist | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2017-01-13 |
| 1538601141 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2016-11-14 |
| 1952850448 | Amanda K Bryson | Physician Assistant | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2016-09-26 |
| 1902250285 | Sarah Guest | Counselor | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2016-04-22 |
| 1124461462 | Anh Nguyen | Family Medicine | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2013-04-16 |
| 1467731232 | Natalie Trent Good | Family Medicine | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2011-08-11 |
| 1245406008 | Heidi A Allen | Family Medicine | 384 Se Combs Flat Rd, Suite 1200, Prineville, OR 97754-2562 | 2008-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
| 1316424518 | Monte Bainbridge | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754 | 2018-07-20 |
| 1841739760 | Gregory Wayne Sanders | Marriage & Family Therapist | 445 Nw 3rd Street, Prineville, OR 97754 | 2017-02-13 |
| 1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
| 1669855052 | Rebecca L Griffith | Mechanotherapist | 298 N Holly St, Prineville, OR 97754 | 2015-07-02 |
| 1376810838 | Jessica Lynn Neely | Counselor | 1333 Nw 9th Street, Prineville, OR 97754 | 2011-11-28 |
| 1205076130 | Dean Arthur Laney | Registered Nurse | 375 Nw Beaver St., Suite 100, Prineville, OR 97754 | 2009-03-05 |
| 1699910513 | Ross E Weakley | Acupuncturist | 298 Sw Harwood, Prineville, OR 97754 | 2008-12-05 |
| 1326208752 | Laura Danielle Gratton | Family Medicine | 975 Nw Beaver Street, Prineville, OR 97754 | 2008-06-10 |
| 1811174550 | Central Oregon Eyecare, PC | Optometrist | 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 | 2008-01-24 |
| Find all providers in zip 97754 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554921 | High Desert Healthcare | Clinic/Center | 1251 Ne Elm Street, Prineville, OR 97754 | 2005-08-09 |
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| 1225694706 | Columbia Lutheran Charities | Clinic/Center | 1111 N Roosevelt Dr Ste 210, Seaside, OR 97138-4604 | 2019-05-10 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1285164921 | Northwest Medical Foundation of Tillamook | Clinic/Center | 1005 Cougar St, Vernonia, OR 97064-1282 | 2017-06-15 |
| 1043694342 | Grande Ronde Hospital, Inc | Clinic/Center | 570 8th, Elgin, OR 97827 | 2015-07-16 |
| 1992183859 | Centennial Medical Group East, LLC | Clinic/Center | 145 E. Broadway, Myrtle Creek, OR 97457 | 2015-05-12 |
| 1477945517 | Morrow County Health District | Clinic/Center | 365 W 3rd St, Ione, OR 97843-7216 | 2015-02-26 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1487919783 | Aurora Family Health and Maternity Care Services LLC | Clinic/Center | 21358 Hwy 99e Ne, Aurora, OR 97002 | 2012-07-12 |
| Find all providers with the same taxonomy | ||||
| City | PRINEVILLE |
| Zip Code | 97754 |
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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.