WAKE HEALTH SERVICES INC. NPI 1992979934

NPI Information

NPI: 1992979934
Provider Name: WAKE HEALTH SERVICES INC.
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: ADVANCE COMMUNITY HEALTH
CLIA Number: 34D2124759
Address: 1420 N WILMINGTON ST
RALEIGH, NC
ZIP 27603
Phone: (919) 250-2930

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NPI Details

WAKE HEALTH SERVICES INC. is a federally qualified health center (fqhc) clinic center in Raleigh, NC. WAKE HEALTH SERVICES INC. NPI is 1992979934. 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:

1420 N WILMINGTON ST
RALEIGH, NC
ZIP 27603-526
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 CLIA number assigned to this NPI record is 34D2124759 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 1/23/2017.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	341939	MEDICARE OSCAR/CERTIFICATION	NORTH CAROLINA
2	03095	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: 11/21/2025

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