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
200 BELLE TERRE RD, ADMINISTRATION, PORT JEFFERSON, NY 11777-1928
(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
04/16/2026
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