ST CHARLES HEALTH COUNCIL INC (NPI# 1710104260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710104260 |
| Entity Type | Organization |
| Organization Name | ST CHARLES HEALTH COUNCIL INC |
| Other Organization Name | WILLIAM A DAVIS CLINIC |
| Practice Address |
1389 Dante Road St Paul VA 24283 |
| Mailing Address |
Clinic Drive Highway 63 North St Paul VA 24283 |
| Practice Telephone | 2767620770 |
| Practice Fax Number | 2767620678 |
| Mailing Telephone | 2767620770 |
| Mailing Fax Number | 2767620678 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-07-29 |
| Authorized Official Name | MALCOLM PERDUE (CEO) |
| Authorized Official Telephone | 2765465310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007602979 | 05 |
| Other Name | Type Code |
|---|---|
| William A Davis Clinic | Doing Business As Name - Organization |
| 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 |
| 1942322003 | St Charles Health Council Inc | Clinic/Center | 815 4a Laurel Avenue, Coeburn, VA 24230 | 2007-04-06 |
| 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 |
| Street Address |
1389 DANTE ROAD |
| City | ST PAUL |
| State | VA |
| Zip Code | 24283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649510611 | Julie Large | Pharmacist | 16435 Wise St., St. Paul, VA 24283 | 2013-02-27 |
| 1144510264 | Misty D Sword Ward | Pharmacist | 16435 Wise Street, St Paul, VA 24283 | 2011-04-11 |
| 1629379292 | Family Preservation Services, Inc. | Community/Behavioral Health | 3200 Deacon Drive, Saint Paul, VA 24283 | 2010-11-12 |
| 1477736684 | Candice M Bolling | Physician Assistant | 16431 Wise St, St Paul, VA 24283 | 2007-12-11 |
| 1780712513 | James A Gross | Pharmacist | 3103 Fletcher Dr, Saint Paul, VA 24283 | 2007-03-01 |
| 1891847489 | Crystal E Burke | Social Worker | Hwy 63 North, Clinic Street, St. Paul, VA 24283 | 2007-01-17 |
| 1497839716 | Beacon of Life Ambulance Service | Ambulance | 16559 Riverside Dr, St. Paul, VA 24283 | 2006-10-24 |
| 1477571743 | Taylor D Holliday | Family Medicine | 16431 Wise St., Saint Paul, VA 24283 | 2006-07-17 |
| 1215960323 | Hamilton Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 16610 Russell Street, St Paul, VA 24283 | 2006-07-09 |
| 1114995487 | Ernie's Drug, Inc. | Pharmacist | 16408 Wise St, St. Paul, VA 24283 | 2006-03-10 |
| Find all providers in zip 24283 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457475543 | West Side Community Health Services, Inc. | Clinic/Center | 495 Rice Street, St Paul, MN 55117-3864 | 2007-03-16 |
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| 1679084297 | Neighborhood Health | Clinic/Center | 8100 Fordson Rd, Alexandria, VA 22306-3128 | 2017-10-23 |
| 1396256087 | Neighborhood Health | Clinic/Center | 1501 Cameron St, Alexandria, VA 22314-2702 | 2017-10-20 |
| 1689122186 | Monroe County Health Center Board of Trustees | Clinic/Center | 25239 Craigs Creek Rd, New Castle, VA 24127-6223 | 2016-09-14 |
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
| Find all providers with the same taxonomy | ||||
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| 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.