Organization Name: | ST. CHARLES HEALTH SYSTEM, INC. |
NPI Number: | 1356389894 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER WELANDER (CFO) |
Mailing Address: | 470 Ne A Street Madras |
State: | OR US |
Postal Code: | 977411844 |
Phone Number: | 5414753882 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2006 |
NPI Last Update Date: | 08/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 141473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |