1942322003 NPI number — ST CHARLES HEALTH COUNCIL INC

Table of content: (NPI 1942322003)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942322003 NPI number — ST CHARLES HEALTH COUNCIL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST CHARLES HEALTH COUNCIL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COEBURN FAMILY HEALTH CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942322003
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/28/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
815 4A LAUREL AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COEBURN
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-565-2764
Provider Business Mailing Address Fax Number:
276-395-6990

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
815 4A LAUREL AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COEBURN
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-565-2764
Provider Business Practice Location Address Fax Number:
276-395-6990
Provider Enumeration Date:
04/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PERDUE
Authorized Official First Name:
MALCOLM
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
276-546-5310

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010376017 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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