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Organization

ST. CHARLES HEALTH COUNCIL INC

Active
Other names
Western Lee County Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MALCOLM PERDUE (CEO)
(276) 546-5310
Entity
Organization

Contact information

Practice address
HIGHWAY 58, EWING, VA 24248
(276) 445-4826
(276) 546-3440
Mailing address
1446 DR THOMAS WALKER RD, EWING, VA 24248-8307
(276) 445-4826
(276) 546-9702

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007602987
VA
Enumeration date
04/24/2007
Last updated
07/21/2021
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