NPIMap

Organization Active NPI

St. Charles Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Jonesville, VA
National Provider Identifier
1295857993
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ST. CHARLES HEALTH COUNCIL INC
Practice address
276 Fieldstone Dr
Jonesville, VA 24263-1215
Phone
(276) 546-3001
Fax
(276) 546-9705
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Malcolm L Perdue
Title
Ceo
Phone
(276) 546-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

276 Fieldstone Dr
Jonesville, VA 24263-1215

Mailing address

276 Fieldstone Dr
Jonesville, VA 24263-1215
Phone (276) 546-3001

Other identifiers 1

IdentifierTypeStateIssuer
007603011MedicaidVA

Other names 1

  • Jonesville Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040209001103 VA Part B Supplier - Clinic/Group Practice 0244124584 Receives reassigned benefits from 26 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Honaker, VA; Vansant, VA; St Paul, VA; St Charles, VA; Saint Charles, VA; Jonesville, VA; Hurley, VA; Haysi, VA…
O20070612000418 VA Part A Provider - Federally Qualified Health Center (FQHC) 0244124584 Practice locations: Jonesville, VA

Federally qualified health center certification: CCN 491814

Legal name
ST. CHARLES HEALTH COUNCIL INC
Doing business as
STONE MOUNTAIN HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Most recent change of ownership
Oct 28, 1997 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1973 in VA
Enrollment address
276 Fieldstone Dr
Jonesville, VA 24263-1215

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0687898Jonesville Family Health Center276 Fieldstone Drive, Jonesville, VA 24263Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
St Charles Health Council Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rufus C Hay Individual Corporate Director May 20, 2010
Malcolm L Perdue Individual Corporate Director May 20, 2010
Violet J Martin Individual Corporate Director May 20, 2010
Douglas McConnell Individual Corporate Director May 20, 2010
Mary K Edwards Individual Corporate DirectorDirector Jun 1, 2019
Saundra Jones Individual W-2 Managing Employee May 20, 2010
Janice Harber Individual Corporate Director May 20, 2010
Gregory D Edwards Individual Corporate Director May 20, 2010
Malcolm L Perdue Individual Corporate OfficerPresident/Ceo Jul 1, 1998 100%
W-2 Managing EmployeePresident/Ceo Jul 1, 1998 100%

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1295857993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 FIELDSTONE DR",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242631215",
            "telephone_number": "276-546-3001",
            "fax_number": "276-546-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 FIELDSTONE DR",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242631215",
            "telephone_number": "276-546-3001",
            "fax_number": "276-546-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES HEALTH COUNCIL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "PERDUE",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007603011",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonesville Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesville, VA

Sources for this page

Verify at the official NPI Registry.