ST. CHARLES HEALTH SYSTEM, INC. (NPI# 1164068938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164068938 |
| Entity Type | Organization |
| Organization Name | ST. CHARLES HEALTH SYSTEM, INC. |
| Practice Address |
1253 Nw Canal Blvd Redmond OR 97756-1334 |
| Mailing Address |
Po Box 6095 Bend OR 97708-6095 |
| Practice Telephone | 5415488131 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | JENNIFER RUE WELANDER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5417067707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| ST. CHARLES REDMOND | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427140870 | St. Charles Health System, Inc. | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Avenue, Redmond, OR 97756 | 2006-09-29 |
| 1356389894 | St. Charles Health System, Inc. | Emergency Medicine | 470 Ne A Street, Madras, OR 97741 | 2006-06-04 |
| 1144215542 | St. Charles Health System, Inc. | Home Health | 2275 Ne Doctors Dr Ste 7, Bend, OR 97701-6324 | 2005-09-13 |
| 1720417710 | St. Charles Health System, Inc. | Clinic/Center | 630 N Arrowleaf Trl, Sisters, OR 97759-2610 | 2013-11-11 |
| 1891099933 | St. Charles Health System, Inc. | Psychiatry & Neurology | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2011-01-04 |
| 1144524273 | St. Charles Health System, Inc. | Family Medicine | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2011-01-04 |
| 1447554589 | St. Charles Health System, Inc. | Obstetrics & Gynecology | 213 Nw Larch Ave, Redmond, OR 97756-1323 | 2011-01-04 |
| 1619271756 | St. Charles Health System, Inc. | Internal Medicine | 2100 Ne Wyatt Ct, Suite 103, Bend, OR 97701-7702 | 2011-01-04 |
| 1528362860 | St. Charles Health System, Inc. | Internal Medicine | 655 Nw Jackpine Avenue, Redmond, OR 97756 | 2010-12-30 |
| 1437453776 | St. Charles Health System, Inc. | Psychiatry & Neurology | 655 Nw Jackpine Avenue, Redmond, OR 97756-1334 | 2010-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ST. CHARLES HEALTH SYSTEM, INC. | 2500 Ne Neff Rd, Bend, OR 97701 |
| Street Address |
1253 NW CANAL BLVD |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051713 | Colleen Anastasia O'sullivan | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97708 | 2005-05-31 |
| 1568931343 | Cep America - Neurology PC | Psychiatry & Neurology | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2018-11-21 |
| 1427542935 | Lauren Habel | Nurse Practitioner | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2018-06-18 |
| 1124576756 | Jonelle Lynn Smith I | Pharmacist | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2016-09-12 |
| 1730544552 | Elke Jacobsen | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2015-12-21 |
| 1922488063 | Katherine Luehrs | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2015-06-03 |
| 1043606148 | Mindy Lipsitz | Emergency Medicine | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2015-04-15 |
| 1932591963 | Bryce Campbell | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2015-02-27 |
| 1750787115 | Community Pharmacy Redmond | Pharmacy | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2014-11-13 |
| 1225432826 | Evan Joseph Ludmer | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97757 | 2014-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063857217 | Garland Perry | Medicare Defined Swing Bed Unit | 5985 Trail Ave Ne, Apt 202, Keizer, OR 97303-7567 | 2013-05-01 |
| 1770514481 | Morrow County Health District | Medicare Defined Swing Bed Unit | 564 E. Pioneer Drive, Heppner, OR 97836 | 2006-07-05 |
| 1063460095 | Lower Umpqua Hospital District | Medicare Defined Swing Bed Unit | 600 Ranch Road, Reedsport, OR 97467 | 2006-05-04 |
| 1851399695 | Lake Health District | Medicare Defined Swing Bed Unit | 700 S J St, Lakeview, OR 97630-1623 | 2005-07-13 |
| 1245237486 | Salem Health West Valley | Medicare Defined Swing Bed Unit | 525 Se Washington St, Dallas, OR 97338-2834 | 2005-07-01 |
| 1609142595 | Peacehealth | Medicare Defined Swing Bed Unit | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2012-03-26 |
| 1902089634 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2007-12-17 |
| 1053509836 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 470 Ne A Street, Madras, OR 97741-1844 | 2007-10-05 |
| 1386830727 | Pioneer Memorial Hospital | Medicare Defined Swing Bed Unit | 1201 Ne Elm St, Prineville, OR 97754-1206 | 2007-09-19 |
| 1164557179 | Coquille Valley Hospital District | Medicare Defined Swing Bed Unit | 940 E 5th St, Coquille, OR 97423 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.