St. Charles Health System, Inc.
Organization Active NPI Home Health Agency · Bend, OR
NPI 1043330491 · NPPES record last updated May 5, 2023
Key facts
- NPI
- 1043330491
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 141457 (OR)
- Legal business name
- ST. CHARLES HEALTH SYSTEM, INC.
- Practice address
- 63031 NE Layton
Bend, OR 97701 - Phone
- (541) 388-7796
- Fax
- (541) 318-4996
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Matthew Swafford
- Title
- Chief Financial Officer
- Phone
- (541) 382-4321
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Cascade Healthcare Community Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 141457 | OR | Yes |
Addresses
Primary practice location
63031 NE Layton
Bend, OR 97701
Mailing address
PO Box 6095
Bend, OR 97708-6095
Phone (541) 382-4321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271195 | Medicaid | OR |
Other names
- St. Charles Lifeline
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.