ST. CHARLES HEALTH SYSTEM, INC. (NPI# 1427140870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427140870 |
Entity Type | Organization |
Organization Name | ST. CHARLES HEALTH SYSTEM, INC. |
Other Organization Name | ST. CHARLES MEDICAL SUPPLY - REDMOND |
Practice Address |
655 Nw Jackpine Avenue Redmond OR 97756 |
Mailing Address |
Po Box 5579 Bend OR 97708-5579 |
Practice Telephone | 5415266661 |
Practice Fax Number | 5415483764 |
Mailing Telephone | 5415163866 |
Mailing Fax Number | 5415163877 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2012-03-27 |
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 | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500625168 | 05 |
Other Name | Type Code |
---|---|
ST. CHARLES MEDICAL SUPPLY - REDMOND | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
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 |
655 NW JACKPINE AVENUE |
City | REDMOND |
State | OR |
Zip Code | 97756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1902050222 | Cascade Healthcare Community Inc | Clinic/Center | 655 Nw Jackpine Avenue, Redmond, OR 97756 | 2008-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
Find all providers in zip 97756 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
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1578830832 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 18100 Ne Union Hill Rd, Suite 320, Redmond, WA 98052-3330 | 2011-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043817802 | Northwest Medical LLC | Durable Medical Equipment & Medical Supplies | 17933 Nw Evergreen Pl Ste 270, Beaverton, OR 97006-7532 | 2020-10-05 |
1790326882 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 10373 Ne Hancock St Ste 128, Portland, OR 97220-3873 | 2019-10-01 |
1649822636 | Todays Dme, Inc | Durable Medical Equipment & Medical Supplies | 1312 Redwood Ave, Grants Pass, OR 97527-5520 | 2019-07-10 |
1679070908 | Edm Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 2859 22nd St Se, Salem, OR 97302-1554 | 2018-04-12 |
1952761710 | Goose Lake Medical Services Inc | Durable Medical Equipment & Medical Supplies | 16 N F St, Lakeview, OR 97630-1528 | 2016-03-07 |
1437597978 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 2685 Commercial St Ne, Salem, OR 97301-6502 | 2013-06-06 |
1578908034 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 700 Bellevue St Se Ste. 120, Salem, OR 97301-3819 | 2013-05-09 |
1225473051 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 133 Ne Dunn Pl, Mcminnville, OR 97128-9081 | 2013-05-07 |
1235497710 | Lifestyle Hospice Foundation, Inc. | Durable Medical Equipment & Medical Supplies | 2390 Sw 4th Ave, Ontario, OR 97914-1852 | 2012-05-02 |
1013291657 | Stateserv Medical of Oregon, LLC | Durable Medical Equipment & Medical Supplies | 26100 Sw 95th Ave, Suite 200, Wilsonville, OR 97070 | 2011-09-30 |
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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.