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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for ST. CHARLES HEALTH COUNCIL INC

NPI # 1679695316
LBN Legal business name ST. CHARLES HEALTH COUNCIL INC
Authorized official MALCOM PERDUE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2007
Last updated 06/23/2011 - About 15 years ago
Identifiers
VA Medicaid 007603002
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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