St. Charles Anti-Coag Clinic

LBN: St. Charles Health System, Inc.
St. Charles Anti-Coag Clinic is an health care organization with primary practice located at 2100 Ne Wyatt Ct Suite 103, Bend OR 97701-7702. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. St. Charles Health System, Inc. can be contacted via phone (541) 706-4701, or through Shepard, Karen M via phone (541) 706-7707.

Contact Information

Primary practice address
2100 Ne Wyatt Ct Suite 103 Bend OR 97701-7702
Phone: (541) 706-4701
Fax: (541) 706-4751
Website:
Map and Directions
Authorized official contact:
Name: Shepard, Karen M
Phone: (541) 706-7707

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1619271756
LBN Legal business name St. Charles Health System, Inc.
DBA Doing business as St. Charles Anti-Coag Clinic
Authorized official Shepard, Karen M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2011
Last updated Jan 4th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619271756 NPPES
Oregon MEDICAID 500625168

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