Organization · Type 2 NPI
ST Charles Health Council Inc
Federally Qualified Health Center (FQHC) · Mendota, VA
NPI number
1114047016
Active
Practice location
2534 Mendota Road
Mendota, VA 24270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1114047016
ST Charles Health Council Inc's National Provider Identifier is 1114047016, issued on Apr 2, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mendota, VA. The record was last updated on Sep 4, 2007.