St Charles Health Council Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ST CHARLES HEALTH COUNCIL INC

Doing business as

Vansant Respiratory Care Center

Practice address

10953 Riverside Drive
Oakwood, VA 24631

Phone

(276) 498-1631

Fax

(276) 498-1042

NPI assigned

Aug 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Malcolm Perdue

Title

Executive Director

Phone

(276) 546-5310

Specialties & licenses 1

Addresses

Other names 1

• Vansant Respiratory Care Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 491922

Legal name

VANSANT RESPIRATORY CARE CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 18, 2012

Last certification

Dec 18, 2012

Ownership / control type

For profit – corporation

Facility address

10953 Riverside Drive
Oakwood, VA 24631

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1053668996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 ANCHORAGE CIR",
            "city": "VANSANT",
            "state": "VA",
            "postal_code": "246567021",
            "telephone_number": "276-498-1625",
            "fax_number": "276-546-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10953 RIVERSIDE DRIVE",
            "city": "OAKWOOD",
            "state": "VA",
            "postal_code": "24631",
            "telephone_number": "276-498-1631",
            "fax_number": "276-498-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES HEALTH COUNCIL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "PERDUE",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "276-546-5310"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vansant Respiratory Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vansant Respiratory Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irene Sekyi Ntiako, PHARMD
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• Ramesh Kabaria MD PC
• Rising Mountain Mobile Physical Therapy, PLLC
• Brenda Taylor Smith, RPH
• Edgar Franklin Talbott III, PHARMD
• Glenna Carolyn Thornsbury, FNP
• Tonya Noel Traas, PHARMD
• Phillip Andrew Ward

• Federally Qualified Health Center (FQHC) in Oakwood, VA
• Providers in Oakwood, VA by specialty
• Federally Qualified Health Center (FQHC) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.