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
306 SOUTH SHADY AVENUE
DAMASCUS, VA24236
Phone: 276-475-5116
Fax: 276-475-5665
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for ST. CHARLES HEALTH COUNCIL INC

NPI Number 1679695316
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 06/23/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 007603002

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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