St Charles Health Council Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Davenport, Virginia. The current practice location for St Charles Health Council Inc is Route 80, Davenport, Virginia. For appointments, you can reach them via phone at
(276) 859-0859. The mailing address for St Charles Health Council Inc is 4124 Council Mountain Rd, Honaker, Virginia and phone number is (276) 859-0859.
St Charles Health Council Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1992827604. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(276) 859-0859.
Primary Care Clinic Profile
| Full Name | St Charles Health Council Inc |
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| Speciality | Clinic/Center |
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| Location | Route 80, Davenport, Virginia |
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| Authorized Official Name and Position | Malcolm Perdue (CHIEF EXECUTIVE OFFICER) |
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| Authorized Official Contact | 2765465310 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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St Charles Health Council Inc
4124 Council Mountain Rd
Honaker
VA 24260-4994
Ph: (276) 859-0859 | St Charles Health Council Inc
Route 80
Davenport
VA 24239
Ph: (276) 859-0859 |
NPI Details:
| NPI Number | 1992827604 |
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| Provider Enumeration Date | 04/04/2007 |
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| Last Update Date | 07/21/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0244124584 |
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| Medicare Enrollment ID | O20070612000398 |
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Medical Identifiers
Medical identifiers for St Charles Health Council Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992827604 | NPI | - | NPPES |
| 007602995 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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