ST. CHARLES FAMILY CARE - PRINEVILLE
NPI 1407178528
Clinic/Center - Rural Health in Prineville, OR

NPI Status: Active since February 16, 2010

Contact Information

384 SE COMBS FLAT RD
SUITE 1200
PRINEVILLE, OR
ZIP 97754
Phone: (541) 447-6263
Fax: (541) 447-8724

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 38D0992699
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 01-26-2027

About ST. CHARLES FAMILY CARE - PRINEVILLE

This page provides the complete NPI Profile along with additional information for St. Charles Family Care - Prineville, a primary care provider established in Prineville, Oregon operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1407178528 assigned on February 2010. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as St. Charles Family Care - Prineville. The authorized official of this NPI record is Matthew Swafford (Cfo)

NPI
1407178528
Provider Legal Name
ST. CHARLES HEALTH SYSTEM, INC.
Other Organization Name
ST. CHARLES FAMILY CARE - PRINEVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
384 SE COMBS FLAT RD SUITE 1200 PRINEVILLE, OR 97754
Location Phone
(541) 447-6263
Location Fax
(541) 447-8724
Mailing Address
PO BOX 6095 BEND, OR 97708
Mailing Phone
(541) 382-4321
Mailing Fax
(541) 447-8724
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2010
Last Update Date
05-05-2023
Code Navigator

A primary care provider (PCP) like St. Charles Family Care - Prineville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW SWAFFORD

Authorized Official Title
CFO
Authorized Official Phone
(541) 382-4321

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500642552MEDICAID (05)OR 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D0992699
Facility Type
Rural Health Clinic
Certificate Effective Date
January 27, 2025
Certificate Expiration Date
January 26, 2027
Laboratory Director
IRENE A. CZYSZCZON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Charles Family Care - Prineville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ST. CHARLES FAMILY CARE - PRINEVILLE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407178528, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 2 + 7 + 1 + 6 + 5 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1407178528.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Surgery
384 SE COMBS FLAT RD, SUITE 1200
PRINEVILLE, OR 97754
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Psychiatry & Neurology (Neurology)
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Physician Assistant (Medical)
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Surgery
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Dietitian, Registered
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Family Medicine
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Community Health Worker
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Counselor (Mental Health)
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Pharmacist
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
General Acute Care Hospital (Critical Access)
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Medicare Defined Swing Bed Unit
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Podiatrist (Foot & Ankle Surgery)
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Family Medicine
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Family Medicine
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Physician Assistant
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407178528, enumerated as an "organization" on February 16, 2010.

The provider is located at 384 SE COMBS FLAT RD SUITE 1200 PRINEVILLE, OR 97754 and the phone number is (541) 447-6263.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Moda Health Plan, Inc., Providence Health Plan,. Please consult your insurance carrier or call the provider to verify.