NPIMap

Organization Active NPI

St. Charles Health System, Inc.

Doing business as The Center at St. Charles Medical Equipment

  • Specialist
  • Redmond, OR
National Provider Identifier
1508677758
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ST. CHARLES HEALTH SYSTEM, INC.
Doing business as
The Center at St. Charles Medical Equipment
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
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. CHARLES HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Specialist 174400000X Primary
Orthopaedic Surgery Physician 207X00000X

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 1

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

Medicare participation

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

Enrollment records 1

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Palaniappan G Muthappan MD19 organizations share this tax ID, including this one
Part of
Palaniappan G Muthappan MD

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1508677758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6095",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977086095",
            "telephone_number": "541-382-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NW LARCH AVE STE 110",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561186",
            "telephone_number": "541-382-3344",
            "fax_number": "541-382-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CHARLES HEALTH SYSTEM, INC.",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "SWAFFORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-382-4321"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center at St. Charles Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Center at St. Charles Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.