ST CHARLES HEALTH COUNCIL INC


Address: 815 4a Laurel Avenue, Coeburn, VA 24230
Phone: 2765652764

ST CHARLES HEALTH COUNCIL INC (NPI# 1942322003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942322003
Entity Type Organization
Organization Name ST CHARLES HEALTH COUNCIL INC
Other Organization Name COEBURN FAMILY HEALTH CENTER
Practice Address 815 4a Laurel Avenue
Coeburn
VA 24230
Practice Telephone 2765652764
Practice Fax Number 2763956990
Mailing Telephone 2765652764
Mailing Fax Number 2763956990
Enumeration Date 2007-04-06
Last Update Date 2016-10-28
Authorized Official Name MALCOLM PERDUE (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 2765465310
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
VA 010376017 05

Other Provider/Organization Names

Other Name Type Code
Coeburn Family Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215284153 St Charles Health Council Inc Clinic/Center 213 Monarch Road, St Charles, VA 24282 2012-08-09
1053668996 St Charles Health Council Inc Clinic/Center 10953 Riverside Drive, Oakwood, VA 24631 2012-08-09
1801060595 St Charles Health Council Inc Clinic/Center 10279 Hurley Road, Hurley, VA 24620 2008-04-15
1710104260 St Charles Health Council Inc Clinic/Center 1389 Dante Road, St Paul, VA 24283 2007-04-19
1992827604 St Charles Health Council Inc Clinic/Center Route 80, Davenport, VA 24239 2007-04-04
1952423667 St Charles Health Council Inc Clinic/Center 102 Oquinn Drive, Haysi, VA 24256 2007-04-04
1114047016 St Charles Health Council Inc Clinic/Center 2534 Mendota Road, Mendota, VA 24270 2007-04-02
1225150824 St Charles Health Council Inc Clinic/Center 20471 Azen Rd, Damascus, VA 24236-4141 2007-04-04
1194845552 St Charles Health Council Inc Clinic/Center 536 E Main St, Appalachia, VA 24216 2007-03-30

Office Location

Street Address 815 4A LAUREL AVENUE
City COEBURN
State VA
Zip Code 24230

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285240523 Burley Walter Ball Jr. Driver 4313 Buckingham Rd, Coeburn, VA 24230 2020-09-22
1447736152 Ttgi Corp Pharmacy 201 Laurel Ave, Coeburn, VA 24230 2018-07-16
1922591882 Joshua Key Physical Therapist 118 Mooney Drive, Coeburn, VA 24230 2018-06-14
1780100024 Jimmy F Williams Jr. Driver 823 Front St E, Coeburn, VA 24230 2017-08-18
1801175641 Family Preservation Services, Inc. Community/Behavioral Health 115 Litchfield Street, Coeburn, VA 24230 2011-08-10
1457582041 Family Preservation Services, Inc Community/Behavioral Health 518 Centre Ave Ne, Coeburn, VA 24230 2009-07-31
1023276854 Sandy Ridge Volunteer Rescue Squad Ambulance 109 Carico Ridge, Coeburn, VA 24230 2008-05-29
1801089677 Family Preservation Services Community/Behavioral Health 323 School House Hill Drive, Coeburn, VA 24230 2007-08-24
1043411184 Community Physicians Services Corporation Clinic/Center 485 Front Street, Marty Shopping Center, Coeburn, VA 24230 2007-05-29
1578603924 Wise Medical Group Family Medicine 203 Front St West, Coeburn, VA 24230 2007-02-07
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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1861909731 The Daily Planet Inc Clinic/Center 2864 Hull St, Richmond, VA 23224-3680 2018-01-02
1427560242 Neighborhood Health Clinic/Center 5000 Polk Ave, Alexandria, VA 22304-1908 2017-11-02
1679084297 Neighborhood Health Clinic/Center 8100 Fordson Rd, Alexandria, VA 22306-3128 2017-10-23
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1689122186 Monroe County Health Center Board of Trustees Clinic/Center 25239 Craigs Creek Rd, New Castle, VA 24127-6223 2016-09-14
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Competitor

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City COEBURN
Zip Code 24230

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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