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CH03074J 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
WILLIAM A. DAVIS CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003304
340B ID
CH03074J
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
1389 DANTE RD
ST. PAUL, VA 24283
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 HIGHWAY 63 NORTH, CLINIC STREET, PO BOX 900, ST. PAUL, VA), ADDED BILL-TO ADD; 9/29/2008- CORRECTED THE CITY AND ZIP CODE (WAS CASTLEWOOD AND 24224 RESPECTIVELY);CORRECTED ENTITY NAME
09/23/2010
April 2025
April 2025
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