Organization
ST CHARLES HEALTH COUNCIL INC
Active
Other names
Haysi Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOM PERDUE (CHIEF EXECUTIVE OFFICER)
(276) 865-5121
Entity
Organization
Contact information
Practice address
102 OQUINN DRIVE, HAYSI, VA 24256
(276) 865-5121
(276) 865-5652
Mailing address
102 OQUINN DRIVE, HAYSI, VA 24256
(276) 865-5121
(276) 865-5652
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
08/24/2007
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