# ST. CHARLES HEALTH SYSTEMS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Pharmacy at St. Charles Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407953805
- **Authorized official:** JIM DIEGEL (CEO)
- **Authorized official phone:** (541) 706-7701

## Contact information

- **Practice address:** 2500 NE NEFF RD, BEND, OR 97701-6015
- **Practice address phone:** (541) 706-7731
- **Practice address fax:** (541) 706-6320
- **Mailing address:** 2500 NE NEFF RD, BEND, OR 97701-6015
- **Mailing address phone:** (541) 706-7731
- **Mailing address fax:** (541) 706-6320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP0000901-CS | OR | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 269715 | — | OR |
| 01 | — | 368000005 | MEDCO | — |