KONNAROCK FAMILY HEALTH CENTER
NPI 1225150824
Clinic/Center - Federally Qualified Health Center (FQHC) in Damascus, VA

Active since April 04, 2007CLIA 49D0998480 · Microscopy
20471 AZEN RD, DAMASCUS, VA 24236(276) 388-3411(276) 388-3732 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Konnarock Family Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KONNAROCK FAMILY HEALTH CENTER (NPI 1225150824) is a healthcare organization registered as a federally qualified health center (fqhc) in Damascus, Virginia and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through September 22, 2026 and lists Malcom Perdue, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1225150824
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameST CHARLES HEALTH COUNCIL INC
Location Address20471 AZEN RDDamascus, VA 24236-4141
Mailing Address20471 Azen RdDamascus, VA 24236-4141 · (276) 388-3411 · Fax (276) 388-3732
Fax(276) 388-3732
Organization SubpartNo
Authorized OfficialMalcom PerdueChief Executive Officer · (276) 546-5310
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
NPI 1225150824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
20471 AZEN RD, Damascus, VA 24236

Other Names 1

Doing Business AsKonnarock Family Health Center

Other Identifiers 1

Medicaid007604092VA

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) 49D0998480

Konnarock Family Health Center · Damascus, VA
Active · expires Sep 22, 2026
CLIA Number49D0998480
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorJoshua A. Yeary
Laboratory Phone(276) 388-3411
Laboratory LocationKonnarock Family Health Center20471 Azen Road, Damascus, VA 24236
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
20471 AZEN RD
DAMASCUS, VA 24236
Nurse Practitioner (Family)
20471 AZEN RD
DAMASCUS, VA 24236

Frequently 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 1225150824. It was assigned to this organization in the NPPES registry on April 4, 2007. The provider is doing business as Konnarock Family Health Center.

Where is St Charles Health Council Inc located?

St Charles Health Council Inc is located at 20471 Azen Rd, Damascus, VA 24236. The listed phone number is (276) 388-3411.

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 49D0998480) is associated with this NPI, valid through September 22, 2026. 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 July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.