Organization
ST CHARLES HOSPITAL CORP
Active
Other names
St. Charles Hospital and Rehabilitation Center, 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
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1968
(631) 474-6600
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000200
BLUE CROSS
NY
Enumeration date
03/23/2006
Last updated
05/21/2026
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