# ST. CHARLES HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST. CHARLES ANTI-COAG CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619271756
- **Authorized official:** KAREN M SHEPARD (SR VP FINANCE / CFO)
- **Authorized official phone:** (541) 706-7707

## Contact information

- **Practice address:** 2100 NE WYATT CT, SUITE 103, BEND, OR 97701-7702
- **Practice address phone:** (541) 706-4701
- **Practice address fax:** (541) 706-4751
- **Mailing address:** PO BOX 1420, REDMOND, OR 97756-0400
- **Mailing address phone:** (541) 526-6556
- **Mailing address fax:** (541) 706-3765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2011
- **Last updated:** 01/04/2011