ST. CHARLES MEDICAL SUPPLY - BEND
NPI 1023117751
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Bend, OR
NPI Status: Active since September 21, 2006
Contact Information
2042 NE WILLIAMSON CT
BEND, OR
ZIP 97701
Phone: (541) 706-6905
Fax: (541) 706-6906
- Organization
- Durable Medical Equipment & Medical Supp...
- Oxygen Equipment & Supplies
- Accepts Insurance
- CLIA Number: 38D2028537
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-17-2025
About ST. CHARLES MEDICAL SUPPLY - BEND
This page provides the complete NPI Profile along with additional information for St. Charles Medical Supply - Bend, a provider established in Bend, Oregon operating as a Durable Medical Equipment & Medical Supplies, focusing in oxygen equipment & supplies . The healthcare provider is registered in the NPI registry with number 1023117751 assigned on September 2006. The practitioner's primary taxonomy code is 332BX2000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as St. Charles Medical Supply - Bend. The authorized official of this NPI record is Karen M Shepard (Sr Vp Finance / Cfo)
- NPI
- 1023117751
- Provider Legal Name
- ST. CHARLES HEALTH SYSTEM, INC.
- Other Organization Name
- ST. CHARLES MEDICAL SUPPLY - BEND
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2042 NE WILLIAMSON CT BEND, OR 97701
- Location Phone
- (541) 706-6905
- Location Fax
- (541) 706-6906
- Mailing Address
- PO BOX 5579 BEND, OR 97708
- Mailing Phone
- (541) 516-3866
- Mailing Fax
- (541) 706-6906
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2006
- Last Update Date
- 03-27-2012
- Code Navigator
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
Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies
- Taxonomy Code
- 332BX2000X
- Type
- Suppliers
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family 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.
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 |
|---|---|---|---|
| 500625168 | MEDICAID (05) | OR | |
| R154119 | MEDICARE PIN (08) | OR | |
| 5778180002 | MEDICARE NSC (07) |
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
- 38D2028537
- Facility Type
- Physician Office
- Certificate Effective Date
- August 18, 2023
- Certificate Expiration Date
- August 17, 2025
- Laboratory Director
- GEORGIA TUNSTILL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. Charles Medical Supply - Bend 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 MEDICAL SUPPLY - BEND
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 1 | 1 | 7 | 7 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 2 | 1 | 14 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 2 + 1 + 1 + 4 + 7 + 1 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1023117751 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164675963 | CASCADE HEALTHCARE COMMUNITY INC Organization | Clinic/Center (Sleep Disorder Diagnostic) | 2042 NE WILLIAMSON CT BEND, OR 97701 (541) 706-6905 |
| 1891099933 | ST. CHARLES HEALTH SYSTEM, INC. Organization | Psychiatry & Neurology (Sleep Medicine) | 2042 NE WILLIAMSON CT BEND, OR 97701 (541) 383-6905 |
| 1255618955 | DR. NATALIA USATII M.D. Individual | Internal Medicine (Sleep Medicine) | 2042 NE WILLIAMSON CT BEND, OR 97701 (541) 706-6905 |
| 1265806053 | NOELLE DOMINIQUE VACCHIO-CAULLEY PA-C Individual | Physician Assistant | 2042 NE WILLIAMSON CT BEND, OR 97701 (541) 706-6905 |
| 1033111521 | STEPHANIE R SCOTT PA-C Individual | Physician Assistant | 2042 NE WILLIAMSON CT BEND, OR 97701 (541) 706-6905 |
| 1568630135 | MATTHEW S COOK PA-C Individual | Physician Assistant | 2042 NE WILLIAMSON CT BEND, OR 97701 (541) 706-6905 |
| 1730547688 | CHRISTOPHER GUILEY FNP Individual | Nurse Practitioner | 2042 NE WILLIAMSON CT BEND, OR 97701 (541) 706-6905 |
| 1659923225 | MERRIE KATELYN NELSON FNP Individual | Nurse Practitioner (Family) | 2042 NE WILLIAMSON CT BEND, OR 97701 (541) 706-6905 |
| 1831177385 | DAVID L DEDRICK MD Individual | Internal Medicine (Sleep Medicine) | 2042 NE WILLIAMSON CT ST. CHARLES SLEEP CENTER - BEND BEND, OR 97701 (541) 706-6905 |
| 1376075887 | NORCO, INC Organization | Durable Medical Equipment & Medical Supplies | 2042 NE WILLIAMSON CT BEND, OR 97701 (541) 383-9071 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023117751, enumerated in the NPI registry as an "organization" on September 21, 2006
The provider is located at 2042 Ne Williamson Ct Bend, Or 97701 and the phone number is (541) 706-6905
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332BX2000X with a focus in Oxygen Equipment & Supplies
The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D2028537 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on September 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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