ST. CHARLES - MADRAS – NPI #1356389894
General Acute Care Hospital

ST. CHARLES - MADRAS is a general acute care hospital located in MADRAS, OR. NPPES has assigned the NPI number 1356389894 to ST. CHARLES - MADRAS on June 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST. CHARLES - MADRAS” is a dba name, the actual legal business name for this organization is ST. CHARLES HEALTH SYSTEM, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 3 years ago on May 05, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. CHARLES - MADRAS below.

NPI Profile for
ST. CHARLES HEALTH SYSTEM, INC.

NPI Number
1356389894
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. CHARLES HEALTH SYSTEM, INC.
Doing Business As (dba): ST. CHARLES - MADRAS
Primary location
470 NE A STREET
MADRAS, OR 97741
Phone: (541) 475-3882 Fax:
Mailing address
PO BOX 6095
BEND, OR 97708-6095
Phone: (541) 382-4321 Fax:
Organization Subpart
No
Authorized Official
MATTHEW SWAFFORD
CFO
Phone: (541) 382-4321
Updated
Certification Date
May 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ST. CHARLES - MADRAS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOR000088
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 OR 141473
207R00000X
- Internal Medicine
207P00000X
- Emergency Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669