Organization
ST. CHARLES HEALTH COUNCIL INC
Active
Other names
St. Charles Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM PERDUE (CEO)
(276) 546-5310
Entity
Organization
Contact information
Practice address
100 MAIN STREET, ST. CHARLES, VA 24282
(276) 383-4428
(276) 383-4927
Mailing address
241 MONARCH RD, SAINT CHARLES, VA 24282-8122
(276) 383-4428
(276) 383-4927
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007601867
—
VA
Enumeration date
04/06/2007
Last updated
07/21/2021
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