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

Active since February 16, 2010CLIA 38D0992699 · Waiver
384 SE COMBS FLAT RD, SUITE 1200, PRINEVILLE, OR 97754(541) 447-6263(541) 447-8724 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2023, Jan 4, 2017, Feb 5, 2016 (3 updates tracked since 2016).

About St. Charles Family Care - Prineville NPPES

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

ST. CHARLES FAMILY CARE - PRINEVILLE (NPI 1407178528) is a healthcare organization registered as a rural health in Prineville, Oregon and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Matthew Swafford, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407178528
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST. CHARLES HEALTH SYSTEM, INC.
Location Address384 SE COMBS FLAT RD, SUITE 1200Prineville, OR 97754-2562
Mailing AddressPo Box 6095Bend, OR 97708-6095 · (541) 382-4321 · Fax (541) 447-8724
Fax(541) 447-8724
Organization SubpartNo
Authorized OfficialMatthew SwaffordCfo · (541) 382-4321
Enumeration DateFebruary 16, 2010
Last NPPES UpdateMay 5, 20233 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
NPI 1407178528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
384 SE COMBS FLAT RD, Prineville, OR 97754

Other Names 1

Doing Business AsSt. Charles Family Care - Prineville

Other Identifiers 1

Medicaid500642552OR

Accepted Insurance

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 Waiver 38D0992699

St Charles Family Care Prineville · Prineville, OR
Active · expires Jan 26, 2027
CLIA Number38D0992699
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorIrene A. Czyszczon
Laboratory Phone(541) 706-2913
Laboratory LocationSt Charles Family Care Prineville384 SE Combs Flat Rd, Prineville, OR 97754
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

Family Medicine
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Pharmacist
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Psychiatry & Neurology (Neurology)
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Podiatrist (Foot & Ankle Surgery)
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Dietitian, Registered
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
Surgery
384 SE COMBS FLAT RD, SUITE 1200
PRINEVILLE, OR 97754
Physician Assistant (Medical)
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754
General Acute Care Hospital (Critical Access)
384 SE COMBS FLAT RD
PRINEVILLE, OR 97754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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

The NPI number for St. Charles Health System, Inc. is 1407178528. It was assigned to this organization in the NPPES registry on February 16, 2010. The provider is doing business as St. Charles Family Care - Prineville.

Where is St. Charles Health System, Inc. located?

St. Charles Health System, Inc. is located at 384 SE Combs Flat Rd Suite 1200, Prineville, OR 97754. The listed phone number is (541) 447-6263.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does St. Charles Health System, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0992699) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Charles Health System, Inc. accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list St. Charles Health System, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Charles Health System, Inc. was last updated on May 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.