St. Charles Health System, Inc.
Organization Active NPI Internal Medicine Physician · Bend, OR
NPI 1831493378 · NPPES record last updated Dec 24, 2010
Key facts
- NPI
- 1831493378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ST. CHARLES HEALTH SYSTEM, INC.
- Practice address
- 2275 NE Doctors Dr
Suite 5
Bend, OR 97701-6324 - Phone
- (541) 706-7715
- Fax
- (541) 706-7742
- NPI assigned
- Dec 24, 2010
- Organization subpart
- No
Authorized official
- Name
- Karen M Shepard
- Title
- Sr VP Finance / Cfo
- Phone
- (541) 706-7707
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Cascade Healthcare Community
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
2275 NE Doctors Dr
Suite 5
Bend, OR 97701-6324
Mailing address
PO Box 1420
Redmond, OR 97756-0400
Phone (541) 526-6556
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500625168 | Medicaid | OR |
Other names
- ST. CHARLES PULMONARY CLINIC - BEND
Other providers in Bend, OR
- St. Charles Health System, Inc.
- St. Charles Health System, Inc.
- St. Charles Health System, Inc.
- St. Charles Health System, Inc.
- St. Charles Health System, Inc.
- St. Charles Health System, Inc.
- St. Charles Health System, Inc.
- St. Charles Health System, Inc.
- St. Charles Health Systems
- St. Charles Medical Center
All providers in Bend, OR · Internal Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2010. 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.