| Organization Name: | ST. CHARLES HEALTH SYSTEM, INC. |
| NPI Number: | 1134317910 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN SHEPARD (EXECUTIVE VP FINANCE/CFO) |
| Mailing Address: | 470 Ne A Street Madras |
| State: | OR US |
| Postal Code: | 97741 |
| Phone Number: | 5414753882 |
| Fax Number: | 5414754804 |
| NPI Enumeration Date: | 10/05/2007 |
| NPI Last Update Date: | 07/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 161059 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |