St. Charles Hospital And Rehabilitation Center
General Acute Care Hospital
200 Belle Terre Road, Port Jefferson
New York, 11714-5713
631-474-6000 St. Charles Hospital And Rehabilitation Center is a General Acute Care Hospital in Port Jefferson, New York. It is located at 200 Belle Terre Road, Port Jefferson and it's customer support contact number is 631-474-6000. The authorized person of St. Charles Hospital And Rehabilitation Center is James O'connor who is President of the pharmacy and his contact number is 631-474-6600. St. Charles Hospital And Rehabilitation Center accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
St. Charles Hospital And Rehabilitation Center is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Pharmacy Details:
St. Charles Hospital And Rehabilitation Center type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | St. Charles Hospital And Rehabilitation Center |
| Type: | General Acute Care Hospital |
| Location: | 200 Belle Terre Road, Port Jefferson,
New York, 11714-5713 |
| Phone: | 631-474-6000 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | James O'connor |
| Position: | President |
| Contact Number: | 631-474-6600 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1164481529 |
| NPI Enumeration Date: | 22 Mar, 2006 |
| NPI Last Update On: | 12 Mar, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St. Charles Hospital And Rehabilitation Center are as mentioned below.
| Specialization | License Number | State | Status | |
| General Acute Care Hospital | | | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000200 | Other | New York | Blue Cross |
| 00274415 | Medicaid | New York | |
Medicare Enrollment:
St. Charles Hospital And Rehabilitation Center is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6103733050 | O20020904000011 | St. Charles Hospital Corp | PART A PROVIDER - HOSPITAL |
| 6103733050 | O20120430000533 | St. Charles Hospital Corp | DME SUPPLIER - HOSPITAL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 95000-6570,
Philadelphia, Pennsylvania |
| Zip: | 19195-6570 |
| Phone Number: | 631-474-6000 |
Patients can reach St. Charles Hospital And Rehabilitation Center at
200 Belle Terre Road, Port Jefferson, New York or can
call on customer care at 631-474-6000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.