National Provider Identifier Database

ST CHARLES HEALTH COUNCIL INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

ST CHARLES HEALTH COUNCIL INC
20471 AZEN RD
DAMASCUS, VA24236-4141
Phone: 276-388-3411
Fax: 276-388-3732
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for ST CHARLES HEALTH COUNCIL INC

NPI Number 1225150824
Legal business name
LBN
ST CHARLES HEALTH COUNCIL INC
Authorized official MALCOM PERDUE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 04/04/2007
Last updated 07/21/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 007604092

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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