Organization
ST. CHARLES HEALTH SYSTEM, INC.
Active
Other names
St. Charles Prineville
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SWAFFORD (CFO)
(541) 382-4321
Entity
Organization
Contact information
Practice address
384 SE COMBS FLAT RD, PRINEVILLE, OR 97754
(541) 447-6254
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 382-4321
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
282NC0060X
Critical Access Hospital
Primary
14-1466
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213312
—
OR
Enumeration date
12/17/2007
Last updated
05/05/2023
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