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WILLIAM A DAVIS CLINIC
NPI 1710104260
Clinic/Center - Federally Qualified Health Center (FQHC) in St Paul, VA

Active since April 19, 2007
1389 DANTE ROAD, ST PAUL, VA 24283(276) 762-0770(276) 762-0678 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About William A Davis Clinic NPPES

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

WILLIAM A DAVIS CLINIC (NPI 1710104260) is a healthcare organization registered as a federally qualified health center (fqhc) in St Paul, Virginia and active in the NPI registry since April 2007. The organization lists Malcolm Perdue, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710104260
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameST CHARLES HEALTH COUNCIL INC
Location Address1389 DANTE ROADSt Paul, VA 24283
Mailing AddressClinic Drive, Highway 63 NorthSt Paul, VA 24283 · (276) 762-0770 · Fax (276) 762-0678
Phone(276) 762-0770
Fax(276) 762-0678
Organization SubpartNo
Authorized OfficialMalcolm PerdueCeo · (276) 546-5310
Enumeration DateApril 19, 2007
Last NPPES UpdateJuly 29, 2010
✔ NPI 1710104260 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
1389 DANTE ROAD, St Paul, VA 24283
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Other Names 1

Doing Business AsWilliam A Davis Clinic

Other Identifiers 3

Medicare PINC03823VA
Medicaid007602979VA
Medicare OSCAR/certification491815VA

Other Providers at the Same Location NPPES 4

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

VIRGINIA CAROLINE BOARDWINE NP
Nurse Practitioner (Family)
1389 DANTE ROAD
ST. PAUL, VA 24283
Wise County (276) 467-2201
SABRINA MITCHELL NP
Nurse Practitioner (Family)
1389 DANTE ROAD
ST. PAUL, VA 24283
Wise County (276) 762-0770
ANITA RENEE DAVIDSON COE FNP-C
Nurse Practitioner (Family)
1389 DANTE ROAD
ST. PAUL, VA 24283
Wise County (276) 762-0770
DR. PAULINA RIOS MD
Family Medicine
1389 DANTE ROAD
SAINT PAUL, VA 24283
Wise County (276) 762-0770

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 1710104260. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as William A Davis Clinic.

Where is St Charles Health Council Inc located?

St Charles Health Council Inc is located at 1389 Dante Road, St Paul, VA 24283. The listed phone number is (276) 762-0770.

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.

When was this NPI record last updated?

The NPPES record for St Charles Health Council Inc was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.