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CH03074C 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
HAYSI CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003478
340B ID
CH03074C
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
162 MEDICAL CENTER BLVD.
HAYSI, VA 24256
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 RT.83, MEDICAL CENTER BOULEVARD, HAYSI, VA), ADDED BILL-TO ADD; 6/3/2008- UPDATED ADD. (WAS P.O. BOX 653, 102 O'QUINN DR);CORRECTED ENTITY NAME
09/23/2010
April 2025
April 2025
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