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CH03074K 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
HOLSTON FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004396
340B ID
CH03074K
Grant Number
H80CS00604
Additional Details
Current Program Status
Active
Registration Date
4/1/2001
Participating Start Date
4/1/2001
Participating Approval Date
2/6/2004
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
St Charles Health Council, Inc
MALCOLM PERDUE, CEO
(276) 546-5310
Primary Contact
St. Charles Health Council, Inc. d/b/a Stone Mountain Health Services
Saundra Jones, COO
(276) 546-5310 Ext: 3102
Addresses
Street Address
306 SOUTH SHADY AVENUE
DAMASCUS, VA 24236
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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CORRECTED ENTITY NAME
02/06/2004
April 2025
April 2025
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