Organization
ST. CHARLES HEALTH SYSTEM, INC.
Active
Other names
ST. CHARLES IMMEDIATE CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN M SHEPARD (SR VP FINANCE / CFO)
(541) 706-7707
Entity
Organization
Contact information
Practice address
2600 NE NEFF RD, BEND, OR 97701-6337
(541) 706-3700
(541) 706-3730
Mailing address
PO BOX 1420, REDMOND, OR 97756-0400
(541) 526-6556
(541) 706-3765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625168
—
OR
Enumeration date
01/04/2011
Last updated
01/04/2011
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