Organization
ST. CHARLES HEALTH SYSTEM, INC.
Active
Other names
ST. CHARLES MEDICAL SUPPLY - REDMOND
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
655 NW JACKPINE AVENUE, REDMOND, OR 97756
(541) 526-6661
(541) 548-3764
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 516-3866
(541) 516-3877
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625168
—
OR
Enumeration date
09/29/2006
Last updated
03/27/2012
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