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St. Charles Health System, Inc.

Organization Active NPI Specialist · Redmond, OR

NPI 1508677758 · NPPES record last updated Mar 3, 2025

Key facts

NPI
1508677758
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
ST. CHARLES HEALTH SYSTEM, INC.
Practice address
333 NW Larch Ave Ste 110
Redmond, OR 97756-1186
Phone
(541) 382-3344
Fax
(541) 382-1681
NPI assigned
Jan 16, 2025
Organization subpart
Yes
Parent organization (as reported)
ST. CHARLES HEALTH SYSTEM, INC.

Authorized official

Name
Matthew Swafford
Title
Chief Financial Officer
Phone
(541) 382-4321

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 379

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 379

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250328000162 OR DME Supplier - Multi-Specialty - Physician 8729111513 Practice locations: Redmond, OR

National Provider Directory

Tax ID family
Cascade Healthcare Community (19 organizations share this tax ID)
Part of
Cascade Healthcare Community

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP		 174400000X Yes
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

333 NW Larch Ave Ste 110
Redmond, OR 97756-1186

Mailing address

PO Box 6095
Bend, OR 97708-6095
Phone (541) 382-4321

Other names

  • The Center at St. Charles Medical Equipment Doing business as

Other providers in Redmond, OR

All providers in Redmond, OR · Specialist in Oregon

Sources for this page

Verify at the official NPI Registry.