ST. CHARLES HEALTH SYSTEM, INC. (NPI# 1528362860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528362860 |
| Entity Type | Organization |
| Organization Name | ST. CHARLES HEALTH SYSTEM, INC. |
| Other Organization Name | ST. CHARLES PULMONARY CLINIC - REDMOND |
| Practice Address |
655 Nw Jackpine Avenue Redmond OR 97756 |
| Mailing Address |
Po Box 1420 Redmond OR 97756-0400 |
| Practice Telephone | 5417067715 |
| Practice Fax Number | 5417067742 |
| Mailing Telephone | 5415266556 |
| Mailing Fax Number | 5417063765 |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500625168 | 05 |
| Other Name | Type Code |
|---|---|
| ST. CHARLES PULMONARY CLINIC - REDMOND | 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 |
| 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 |
|---|---|---|---|---|
| 1427140870 | St. Charles Health System, Inc. | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Avenue, Redmond, OR 97756 | 2006-09-29 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578840880 | Sargur N Mukund | Internal Medicine | 13327 168 Ave Ne, Redmond, WA 98052 | 2011-11-15 |
| 1578862389 | Sriranjini Chilkunda Ramaswamy | Internal Medicine | 16630 Ne 36th Ct, Apt Gg 303, Redmond, WA 98052-8362 | 2011-03-18 |
| 1447432265 | Bel-red Internal Medicine Pllc | Internal Medicine | 2677 151st Pl Ne, Redmond, WA 98052-5563 | 2007-12-04 |
| 1073608048 | Elizabeth Mckendry | Internal Medicine | 15937 Redmond Wy, Redmond, WA 98052 | 2006-10-04 |
| 1144253303 | Teresa Marie Girolami | Internal Medicine | 2677 151st Place Ne, Redmond, WA 98052 | 2006-07-09 |
| 1407889173 | Jackline S. Joseph | Internal Medicine | 2103 152nd Ave Ne, Redmond, WA 98052-5520 | 2006-07-08 |
| 1801859574 | Randy Dale Visser | Internal Medicine | 2650 Sw 41st St, Redmond, OR 97756-9516 | 2006-04-11 |
| 1588666135 | Gurinder P Sahi | Internal Medicine | 2217 152nd Ave Ne, Ste 100, Redmond, WA 98052-5519 | 2005-08-12 |
| 1598761959 | Celso A Gangan Jr. | Internal Medicine | 1245 Nw 4th St, Ste 201, Redmond, OR 97756-1680 | 2005-06-21 |
| 1730617044 | Mustafa Burak Tunc | Internal Medicine | 18100 Ne Union Hill Rd Ste 200, Redmond, WA 98052-3330 | 2017-05-31 |
| Find all providers in REDMOND | ||||
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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.