ST CHARLES HEALTH COUNCIL INC (NPI# 1992827604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992827604 |
Entity Type | Organization |
Organization Name | ST CHARLES HEALTH COUNCIL INC |
Other Organization Name | DAVENPORT CLINIC |
Practice Address |
Route 80 Davenport VA 24239 |
Practice Telephone | 2768590859 |
Practice Fax Number | 2768590587 |
Mailing Telephone | 2768590859 |
Mailing Fax Number | 2768590587 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2007-08-24 |
Authorized Official Name | MALCOLM PERDUE (CHIEF EXECUTIVE OFFICER) |
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 |
Other Name | Type Code |
---|---|
Davenport 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 |
1710104260 | St Charles Health Council Inc | Clinic/Center | 1389 Dante Road, St Paul, VA 24283 | 2007-04-19 |
1942322003 | St Charles Health Council Inc | Clinic/Center | 815 4a Laurel Avenue, Coeburn, VA 24230 | 2007-04-06 |
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 |
ROUTE 80 |
City | DAVENPORT |
State | VA |
Zip Code | 24239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871920991 | Appalachian Counseling Services, Inc | Clinic/Center | 1034 Freehold Road, Davenport, VA 24239 | 2013-10-03 |
1033207469 | Family Drug Center | Pharmacy | State Route 80, Davenport, VA 24239-0129 | 2006-10-11 |
1326568239 | Agape Home Living Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2708 16th Street, Greensboro, NC 24239-4371 | 2017-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669070777 | Carlie Shannon | Social Worker | 736 Federal St., Ste. 1-103, Davenport, IA 52803-5768 | 2020-10-12 |
1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
1447857222 | Caren R Nituda | Nurse Practitioner | 1051 Andalusia Loop, Davenport, FL 33837-1443 | 2020-10-05 |
1447857123 | Omayra Rolon-rivera | Case Manager/Care Coordinator | 1371 Tuscana Ln Apt 6102, Davenport, FL 33896-5302 | 2020-10-05 |
1407463649 | Morrison Community Hospital District | Clinic/Center | 4622 Progress Dr Ste C, Davenport, IA 52807-3426 | 2020-09-30 |
1649887399 | Chelsea White | Nurse Practitioner | 225 Lake Davenport Blvd, Davenport, FL 33897-5425 | 2020-09-28 |
1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
1598371270 | Samantha Delores Gartner | Physician Assistant | 518 W Locust St # 287, Davenport, IA 52803-2829 | 2020-09-18 |
1497360796 | Ashlee Elizabeth Winter | Nurse Practitioner | 1132 Elderberry Dr, Davenport, FL 33897-3853 | 2020-09-14 |
1316552052 | Shannon Kathleen Christiansen | Chiropractor | 2108 Vine St, Davenport, IA 52804-2056 | 2020-09-10 |
Find all providers in DAVENPORT |
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 |
---|---|---|---|---|
1811257678 | Community Health Care, Inc | Clinic/Center | 120 N Ripley St, Davenport, IA 52801-1200 | 2012-05-25 |
1295053890 | Community Health Care, Inc | Clinic/Center | 4205 N Fairmount St, Davenport, IA 52806-3054 | 2010-05-07 |
1700866605 | Community Health Care, Inc. | Clinic/Center | 4001 N Brady St, Davenport, IA 52806-4003 | 2006-01-18 |
1932193224 | Community Health Care, Inc. | Clinic/Center | 500 W River Dr, Davenport, IA 52801-1014 | 2005-09-01 |
1427418276 | Community Health Care, Inc | Clinic/Center | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2016-03-07 |
1942280235 | Community Health Care, Inc. | Clinic/Center | 500 W River Dr, Davenport, IA 52801-1014 | 2006-01-20 |
1124008214 | Community Health Care, Inc. | Clinic/Center | 303 W 6th St, Davenport, IA 52803-5101 | 2006-01-17 |
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1750937009 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 182 Shire Ln, North Tazewell, VA 24630-5044 | 2019-08-13 |
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1093367732 | Peninsula Institute for Community Health Inc | Clinic/Center | 7401 Warwick Blvd, Newport News, VA 23607-1515 | 2019-07-12 |
1538725668 | Peninsula Institute for Community Health Inc | Clinic/Center | 9294 Warwick Blvd, Newport News, VA 23607-1535 | 2019-05-14 |
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 |
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.