| Organization Name: | ST. CHARLES HEALTH SYSTEM, INC. |
| NPI Number: | 1023117751 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN M SHEPARD (SR VP FINANCE / CFO) |
| Mailing Address: | 2042 Ne Williamson Ct Bend |
| State: | OR US |
| Postal Code: | 977013760 |
| Phone Number: | 5417066905 |
| Fax Number: | 5417066906 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 03/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |