340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH03074A ST. CHARLES HEALTH COUNCIL/STONE MOUNTAIN HEALTH SERVICES (Terminated)
Print
Main Details
Name
ST. CHARLES HEALTH COUNCIL/STONE MOUNTAIN HEALTH SERVICES
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004572
340B ID
CH03074A
Grant Number
H80CS00604
Additional Details
Current Program Status
Terminated
Registration Date
5/26/2008
Participating Start Date
7/1/2008
Participating Approval Date
5/27/2008
Last Recertification Date
3/2/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
St Charles Health Council, Inc
MALCOLM PERDUE, CEO
(276) 546-5310
Primary Contact
KAY G. MATLOCK, PROGRAM DEVELOPMENT OFFICER
(276) 546-5310
Addresses
Street Address
185 REDWOOD AVE
SUITE 102
PENNINGTON GAP, VA 24277-2037
Billing Address
ST. CHARLES HEALTH COUNCIL/STONE MOUNTAIN HEALTH SERVICES
276 Fieldstone Drive
Jonesville, VA 24263
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
9/23/10 UPDATED PHYS ADD (WAS 602 WEST MORGAN AVENUE, STE 3, PENNINGTON GAP, VA)
09/23/2010
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session