| St. Charles Health Council Inc | |
|
Rt 83 Vansant VA 24656 | |
| (276) 597-7081 | |
| (276) 597-8225 |
| Full Name | St. Charles Health Council Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | Rt 83, Vansant, Virginia |
| Authorized Official Name and Position | Malcolm Perdue (CEO) |
| Authorized Official Contact | 2765465310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Charles Health Council Inc Rt 83 Vansant VA 24656 Ph: (276) 597-7081 | St. Charles Health Council Inc Rt 83 Vansant VA 24656 Ph: (276) 597-7081 |
| NPI Number | 1801013354 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/24/2007 |
| Medicare PECOS PAC ID | 0244124584 |
|---|---|
| Medicare Enrollment ID | O20040209001103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801013354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Bridgette L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427045384 PECOS PAC ID: 2668464801 Enrollment ID: I20040330001546 |
| Provider Name | Dia Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154392025 PECOS PAC ID: 8820053374 Enrollment ID: I20050105000042 |
| Provider Name | Jill K Couch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972561702 PECOS PAC ID: 6103878525 Enrollment ID: I20050214000956 |
| Provider Name | Rita J Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578601837 PECOS PAC ID: 9335194141 Enrollment ID: I20050315000343 |
| Provider Name | Sabrina Lynn Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174501407 PECOS PAC ID: 3072545367 Enrollment ID: I20050907001164 |
| Provider Name | Kellie W Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659342491 PECOS PAC ID: 0143323782 Enrollment ID: I20070320000102 |
| Provider Name | Malena Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427299486 PECOS PAC ID: 6608924808 Enrollment ID: I20090527000085 |
| Provider Name | Wayne A Vanzee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235100025 PECOS PAC ID: 8123154218 Enrollment ID: I20100329000128 |
| Provider Name | Jody Michele Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982929147 PECOS PAC ID: 0941331045 Enrollment ID: I20100707000303 |
| Provider Name | Melissa N Keene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295943876 PECOS PAC ID: 3577615764 Enrollment ID: I20100729000077 |
| Provider Name | Abdul Latief Almatari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477525160 PECOS PAC ID: 4082808191 Enrollment ID: I20101103000256 |
| Provider Name | Torry E Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336290477 PECOS PAC ID: 2163617937 Enrollment ID: I20101108000339 |
| Provider Name | Esther Ajjarapu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952630725 PECOS PAC ID: 0446435838 Enrollment ID: I20110428000613 |
| Provider Name | Elizabeth A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326390071 PECOS PAC ID: 3173777240 Enrollment ID: I20130128000146 |
| Provider Name | Crystal E Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891847489 PECOS PAC ID: 5799921094 Enrollment ID: I20130410000637 |
| Provider Name | Lindsey Mccurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770849770 PECOS PAC ID: 1658514237 Enrollment ID: I20130829000430 |
| Provider Name | Ava R Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205974102 PECOS PAC ID: 6103060645 Enrollment ID: I20130923000722 |
| Provider Name | Brandon S Bogle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699082479 PECOS PAC ID: 4880828490 Enrollment ID: I20131015001563 |
| Provider Name | Paige M Billman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669894903 PECOS PAC ID: 2860625563 Enrollment ID: I20140505000458 |
| Provider Name | Sarah Jane Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972933976 PECOS PAC ID: 2769610211 Enrollment ID: I20150821012832 |
| Provider Name | Joshua A Yeary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720427834 PECOS PAC ID: 7618287897 Enrollment ID: I20151030002241 |
| Provider Name | Virginia Caroline Boardwine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124574777 PECOS PAC ID: 2668754698 Enrollment ID: I20170126001207 |
| Provider Name | Adam E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154781623 PECOS PAC ID: 2567733389 Enrollment ID: I20180301002438 |
| Provider Name | Katherine Burner Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598278723 PECOS PAC ID: 9638423882 Enrollment ID: I20181107001168 |
| Provider Name | Angelia M Mcclanahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467836114 PECOS PAC ID: 2163764358 Enrollment ID: I20190509000725 |
| Provider Name | Paulina Rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366959108 PECOS PAC ID: 6901202910 Enrollment ID: I20210831000014 |
| Provider Name | Katherine Gish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972597052 PECOS PAC ID: 7214076058 Enrollment ID: I20220210001858 |
| Provider Name | Heather Hunley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689174211 PECOS PAC ID: 4688939408 Enrollment ID: I20250316000027 |
Appalachian Family Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18765 Riverside Drive, Vansant, VA 24656 Phone: 276-935-2880 Fax: 276-935-2889 |