Organization
ST CHARLES HEALTH COUNCIL INC
Active
Other names
Hurley Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM PERDUE (CEO)
(276) 546-5310
Entity
Organization
Contact information
Practice address
10279 HURLEY ROAD, HURLEY, VA 24620
(276) 566-7204
(276) 566-7206
Mailing address
276 FIELDSTONE DR, JONESVILLE, VA 24263-1215
(276) 546-5310
(276) 546-5469
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801060595
—
VA
Enumeration date
04/15/2008
Last updated
07/21/2021
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