Organization
ST. CHARLES HEALTH COUNCIL INC
Active
Other names
Holston Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOM PERDUE (CHIEF EXECUTIVE OFFICER)
(276) 475-5116
Entity
Organization
Contact information
Practice address
306 SOUTH SHADY AVENUE, DAMASCUS, VA 24236
(276) 475-5116
(276) 475-5665
Mailing address
306 SOUTH SHADY AVENUE, DAMASCUS, VA 24236
(276) 475-5116
(276) 475-5665
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007603002
—
VA
Enumeration date
04/04/2007
Last updated
06/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us