NPIMap

Organization Active NPI

Cascade Healthcare Community Inc

Doing business as NW High Desert Sleep Center Bend

  • Sleep Disorder Diagnostic Clinic/Center
  • Bend, OR
National Provider Identifier
1164675963
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
CASCADE HEALTHCARE COMMUNITY INC
Doing business as
NW High Desert Sleep Center Bend
Practice address
2042 NE Williamson CT
Bend, OR 97701-3760
Phone
(541) 706-6905
NPI assigned
Oct 24, 2008
Last updated
Nov 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tim Bricker
Title
Executive Vice President
Phone
(541) 706-7701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

2042 NE Williamson CT
Bend, OR 97701-3760

Mailing address

2042 NE Williamson CT
Bend, OR 97701-3760
Phone (541) 706-6905

Other names 1

  • NW High Desert Sleep Center Bend Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215000948 OR Part A Provider - Hospital 3870402852 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bend, OR; La Pine, OR; Redmond, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164675963. Details of each certification follow.

Hospital certification: CCN 380047

Legal name
ST CHARLES HEALTH SYSTEM INC
Doing business as
ST. CHARLES BEND CAMPUS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1972
Last certification
Feb 18, 2012
Beds
231
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 8, 1971 in OR
Enrollment address
2500 NE Neff Rd
Bend, OR 97701-6015
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
St Charles Medical Center - BendCCN 380047 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shelly Handkins Individual Corporate Director Jan 1, 2021
Steven G Gordon Individual Corporate DirectorBoard Member Sep 1, 2014
W-2 Managing Employee Jul 20, 2022
Matthew Swafford Individual Corporate OfficerChief Financial Officer Jan 1, 2020
Chris McClellan Individual Corporate DirectorBoard Member Jan 1, 2025
Jenny Obrien Individual Corporate Director Jan 1, 2022
James Orlikoff Individual Corporate DirectorBoard Member Jan 1, 2018
Ann Rhoads Individual Corporate Director Jan 1, 2021
Jon Bullock Individual Corporate DirectorBoard Member Jan 1, 2025
St Charles Health System Inc Organization, Bend, OR Operational/Managerial Control Jan 1, 2016 100%
Daniel Schuette Individual Corporate DirectorBoard Member Sep 1, 2008
Jennifer Schmid Individual Corporate Director Jan 1, 2020
Glenn S Rodriguez Individual Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1,066

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,066

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1164675963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 NE WILLIAMSON CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013760",
            "telephone_number": "541-706-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 NE WILLIAMSON CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013760",
            "telephone_number": "541-706-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE HEALTHCARE COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "BRICKER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "541-706-7701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NW High Desert Sleep Center Bend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.