STONE MOUNTAIN HEALTH SERVICES
NPI 1114047016
Clinic/Center - Federally Qualified Health Center (FQHC) in Mendota, VA
About Stone Mountain Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STONE MOUNTAIN HEALTH SERVICES (NPI 1114047016) is a healthcare organization registered as a federally qualified health center (fqhc) in Mendota, Virginia and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through March 24, 2028 and lists Malcolm Perdue, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0858309
Stone Mountain Health Services William A Davis Clinic · Saint Paul, VAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is St Charles Health Council Inc's NPI number?
The NPI number for St Charles Health Council Inc is 1114047016. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Stone Mountain Health Services.
Where is St Charles Health Council Inc located?
St Charles Health Council Inc is located at 2534 Mendota Road, Mendota, VA 24270. The listed phone number is (276) 645-6710.
What is St Charles Health Council Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does St Charles Health Council Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0858309) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for St Charles Health Council Inc was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stone Mountain Health Services · NPI 1114047016
Federally Qualified Health Center (FQHC) organization in Mendota, Virginia. Organization record, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1114047016 (Entity type: Organization)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** St Charles Health Council Inc
- **Organization subpart:** No
- **Authorized official:** Malcolm Perdue, CEO
## Practice location
- **Address:** 2534 MENDOTA ROAD, Mendota, VA 24270
- **Phone:** (276) 645-6710
## Record status
- **NPPES last updated:** September 4, 2007
- **Other identifiers:** Medicare OSCAR/certification 491873 (VA); Medicaid 1114047016 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114047016) · Data from the CMS NPPES public registry.