Organization
ST. CHARLES HOSPITAL AND REHABILITATION CENTER
Active
Other names
St. Charles Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES O'CONNOR (PRESIDENT)
(631) 474-6600
Entity
Organization
Contact information
Practice address
200 BELLE TERRE ROAD, PORT JEFFERSON, NY 11714-5713
(631) 474-6000
Mailing address
PO BOX 95000-6570, PHILADELPHIA, PA 19195-6570
(631) 474-6000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000200
BLUE CROSS
NY
05
—
00274415
—
NY
Enumeration date
03/22/2006
Last updated
03/12/2025
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