NPIMap

Organization Active NPI

St. Charles Health Council Inc

Doing business as Thompson Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Vansant, VA
National Provider Identifier
1801013354
Registry record updated Aug 24, 2007
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
Doing business as
Thompson Family Health Center
Practice address
RT 83
Vansant, VA 24656
Phone
(276) 597-7081
Fax
(276) 597-8225
NPI assigned
Apr 19, 2007
Last updated
Aug 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

RT 83
Vansant, VA 24656

Mailing address

RT 83
Vansant, VA 24656
Phone (276) 597-7081

Other names 1

  • Thompson 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
Practice locations: Honaker, VA; Vansant, VA; St Paul, VA; St Charles, VA; Saint Charles, VA; Jonesville, VA; Hurley, VA; Haysi, VA…
O20070612000378 VA Part A Provider - Federally Qualified Health Center (FQHC) 0244124584 Practice locations: Vansant, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801013354. Details of each certification follow.

Federally qualified health center certification: CCN 491835

Legal name
ST. CHARLES HEALTH COUNCIL INC
Doing business as
THOMPSON FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 18, 1995
Last certification
Sep 18, 1995
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1973 in VA
Enrollment address
1721 Lovers Gap Road
Vansant, VA 24656-1149

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
49D0907151Thompson Family Health Center1721 Lovers Gap Road, Vansant, VA 24656Provider-performed microscopySep 22, 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
Betty Rose Individual Corporate DirectorBoard Member May 21, 2001
Rufus C Hay Individual Corporate DirectorBoard Member Jun 6, 1994
Malcolm L Perdue Individual Corporate OfficerPresident, Ceo Jul 1, 1998 100%
W-2 Managing EmployeePresident, Ceo Jul 15, 2013 100%
Violet J Martin Individual Corporate DirectorBoard Member Jun 16, 1996
Douglas McConnell Individual Corporate DirectorBoard Member Feb 23, 2010
Mary K Edwards Individual Corporate DirectorBoard Member May 21, 1998
Janice Harber Individual Corporate DirectorBoard Member Nov 27, 2007
Thelma B Harrington Individual Corporate DirectorBoard Member Apr 27, 2004
Gregory D Edwards Individual Corporate DirectorBoard Member Feb 7, 1995

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1801013354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT 83",
            "city": "VANSANT",
            "state": "VA",
            "postal_code": "24656",
            "telephone_number": "276-597-7081",
            "fax_number": "276-597-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 83",
            "city": "VANSANT",
            "state": "VA",
            "postal_code": "24656",
            "telephone_number": "276-597-7081",
            "fax_number": "276-597-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES HEALTH COUNCIL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "PERDUE",
        "authorized_official_first_name": "MALCOLM",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thompson Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vansant, VA

Sources for this page

Verify at the official NPI Registry.