Organization Name: | ST. CHARLES HEALTH SYSTEM, INC. |
NPI Number: | 1720417710 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN M SHEPARD (EXECUTIVE VP / CFO) |
Mailing Address: | 630 N Arrowleaf Trl Sisters |
State: | OR US |
Postal Code: | 977592610 |
Phone Number: | 5415491318 |
Fax Number: | 5415886002 |
NPI Enumeration Date: | 11/11/2013 |
NPI Last Update Date: | 11/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |