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CH030740 ST. CHARLES HEALTH COUNCIL/STONE MOUNTAIN HEALTH SERVICES (Active)
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Main Details
Name
ST. CHARLES HEALTH COUNCIL/STONE MOUNTAIN HEALTH SERVICES
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002140
340B ID
CH030740
Grant Number
H80CS00604
Additional Details
Current Program Status
Active
Registration Date
10/1/1999
Participating Start Date
10/1/1999
Participating Approval Date
2/6/2004
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
St Charles Health Council, Inc
MALCOLM PERDUE, CEO
(276) 546-5310
Primary Contact
St. Charles Health Council, Inc.
Teresa Marie Garrett, 340B Program Coordinator
(276) 546-5310
Addresses
Street Address
241 MONARCH RD
ST CHARLES, VA 24282
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
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9/23/10 UPDATED PHYS ADD (WAS DRAWER S, 100 MAIN STREET, ST. CHARLES, VA); ADDED BILL TO
09/23/2010
May 2025
May 2025
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