ADVANCE COMMUNITY HEALTH INC NPI 1093706111

NPI Information

NPI: 1093706111
Provider Name: ADVANCE COMMUNITY HEALTH, INC

Doing Business As: ADVANCE COMMUNITY HEALTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1011 ROCK QUARRY ROAD
RALEIGH, NC
ZIP 27610
Phone: (919) 250-2930
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ADVANCE COMMUNITY HEALTH, INC is a federally qualified health center (fqhc) clinic center in Raleigh, NC. ADVANCE COMMUNITY HEALTH, INC NPI is 1093706111. The provider is registered as an organization entity type.
The provider Is Doing Business As Advance Community Health.

The provider's business location address is:

1011 ROCK QUARRY ROAD
RALEIGH, NC
ZIP 27610
Phone: (919) 250-2930
Fax: (919) 573-4734

The provider's authorized official is Penella M Washington .
The authorized official title is Ceo and has the following contact phone number (919) 250-2923.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 4/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	344587D	MEDICAID	NORTH CAROLINA
2	013WU	OTHER	NORTH CAROLINA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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