ST. CHARLES HEALTH COUNCIL INC NPI 1295857993

NPI Information

NPI: 1295857993
Provider Name: ST. CHARLES HEALTH COUNCIL INC

Doing Business As: JONESVILLE FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
276 FIELDSTONE DR
JONESVILLE, VA
ZIP 24263
Phone: (276) 546-3001
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ST. CHARLES HEALTH COUNCIL INC is a federally qualified health center (fqhc) clinic center in Jonesville, VA. ST. CHARLES HEALTH COUNCIL INC NPI is 1295857993. The provider is registered as an organization entity type.
The provider Is Doing Business As Jonesville Family Health Center.

The provider's business location address is:

276 FIELDSTONE DR
JONESVILLE, VA
ZIP 24263-215
Phone: (276) 546-3001
Fax: (276) 546-9705

The provider's authorized official is Malcolm L Perdue .
The authorized official title is Ceo and has the following contact phone number (276) 546-5310.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 1/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	007603011	MEDICAID	VIRGINIA
2	491814	MEDICARE OSCAR/CERTIFICATION	VIRGINIA
3	C08071	MEDICARE PIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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