ST. CHARLES IMMEDIATE CARE CLINIC
NPI 1144524273
Family Medicine in Bend, OR

Q: What is St. Charles Health System, Inc.'s NPI number?

The NPI number for St. Charles Health System, Inc. is 1144524273. It was assigned to this organization in the NPPES registry on January 4, 2011. The provider is doing business as St. Charles Immediate Care Clinic.

Q: What is St. Charles Health System, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 04, 2011CLIA 38D0628433 · Accreditation

2600 NE NEFF RD, BEND, OR 97701(541) 706-3700(541) 706-3730 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About St. Charles Immediate Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. CHARLES IMMEDIATE CARE CLINIC (NPI 1144524273) is a healthcare organization registered as a family medicine in Bend, Oregon and active in the NPI registry since January 2011. The organization holds an CLIA Accreditation certificate valid through December 31, 2027 and lists Karen M Shepard, Sr Vp Finance / Cfo, as its authorized official.

NPPES Registry Identity

NPI1144524273

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST. CHARLES HEALTH SYSTEM, INC.

Location Address2600 NE NEFF RDBend, OR 97701-6337

Mailing AddressPo Box 1420Redmond, OR 97756-0400 · (541) 526-6556 · Fax (541) 706-3765

Phone(541) 706-3700

Fax(541) 706-3730

Organization SubpartNo

Authorized OfficialKaren M ShepardSr Vp Finance / Cfo · (541) 706-7707

Enumeration DateJanuary 4, 2011

✔ NPI 1144524273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2600 NE NEFF RD, Bend, OR 97701

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Other Names 1

Doing Business AsSt. Charles Immediate Care Clinic

Other Identifiers 3

Medicare NSC6394490001OR

Medicare PINR154119OR

Medicaid500625168OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 38D0628433

St Charles Health System, Inc, Dba St Charles Redmond Lab · Redmond, OR

Active · expires Dec 31, 2027

CLIA Number38D0628433

Laboratory TypeHospital

Certificate Effective DateJanuary 1, 2026

Certificate Expiration DateDecember 31, 2027

Laboratory DirectorKerry Councilman

Laboratory Phone(541) 706-2913

Laboratory LocationSt Charles Health System, Inc, Dba St Charles Redmond Lab1253 N Canal Blvd, Redmond, OR 97756

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA KRISTINE MIZEUR FNP

Nurse Practitioner (Family)