ADVANCE COMMUNITY HEALTH, INC (NPI# 1093706111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093706111 |
| Entity Type | Organization |
| Organization Name | ADVANCE COMMUNITY HEALTH, INC |
| Other Organization Name | ADVANCE COMMUNITY HEALTH |
| Practice Address |
1011 Rock Quarry Road Raleigh NC 27610 |
| Mailing Address |
1001 Rock Quarry Road Raleigh NC 27610 |
| Practice Telephone | 9192502930 |
| Practice Fax Number | 9195734734 |
| Mailing Telephone | 9198333111 |
| Mailing Fax Number | 9192318077 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | PENELLA M WASHINGTON (CEO) |
| Authorized Official Telephone | 9192502923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 344587D | 05 | |
| NC | BCBS | 013WU | 01 |
| Other Name | Type Code |
|---|---|
| Advance Community Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447702634 | Advance Community Health, Inc | Clinic/Center | 173 High Horse Road, Cary, NC 27511-6715 | 2016-11-04 |
| 1114479011 | Advance Community Health, Inc | Clinic/Center | 1430 S Wilmington St, Raleigh, NC 27603-2526 | 2016-10-27 |
| 1952760290 | Advance Community Health, Inc | Clinic/Center | 187 High House Rd, Cary, NC 27511-6715 | 2016-02-15 |
| 1497918338 | Advance Community Health, Inc | Clinic/Center | 111 S. Church Street, Louisburg, NC 27549-0001 | 2008-07-09 |
| 1598751463 | Advance Community Health, Inc | Clinic/Center | 212 S Salem St, Apex, NC 27502-1825 | 2005-09-26 |
| 1114913092 | Advance Community Health, Inc | Clinic/Center | 130 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2367 | 2005-09-26 |
| 1245223783 | Advance Community Health, Inc | Clinic/Center | 1011 Rock Quarry Road, Raleigh, NC 27610 | 2005-08-30 |
| 1871191304 | Advance Community Health, Inc | Clinic/Center | 187 High House Rd, Cary, NC 27511-6715 | 2020-10-16 |
| 1992257190 | Advance Community Health, Inc | Clinic/Center | 1430 S Wilmington St, Raleigh, NC 27603-2526 | 2016-11-04 |
| 1801348008 | Advance Community Health, Inc | Clinic/Center | 112 Cox Ave, Raleigh, NC 27605-1817 | 2016-11-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADVANCE COMMUNITY HEALTH, INC. | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 |
| Street Address |
1011 ROCK QUARRY ROAD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245223783 | Advance Community Health, Inc | Clinic/Center | 1011 Rock Quarry Road, Raleigh, NC 27610 | 2005-08-30 |
| 1598321614 | Marico Dove | Pharmacist | 1011 Rock Quarry Road, Raleigh, NC 27610 | 2019-05-14 |
| 1871589762 | Advance Community Health, Inc | Clinic/Center | 1011 Rock Quarry Road, Raleigh, NC 27610 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114479011 | Advance Community Health, Inc | Clinic/Center | 1430 S Wilmington St, Raleigh, NC 27603-2526 | 2016-10-27 |
| 1992979934 | Wake Health Services Inc. | Clinic/Center | 1420 N Wilmington St, Raleigh, NC 27603-2526 | 2008-04-22 |
| 1326034208 | Wake Health Services, Inc | Clinic/Center | 102 N Tarboro Rd, Raleigh, NC 27610-2352 | 2005-09-26 |
| 1245223783 | Advance Community Health, Inc | Clinic/Center | 1011 Rock Quarry Road, Raleigh, NC 27610 | 2005-08-30 |
| 1992257190 | Advance Community Health, Inc | Clinic/Center | 1430 S Wilmington St, Raleigh, NC 27603-2526 | 2016-11-04 |
| 1801348008 | Advance Community Health, Inc | Clinic/Center | 112 Cox Ave, Raleigh, NC 27605-1817 | 2016-11-04 |
| 1285186080 | Advance Community Health, Inc | Clinic/Center | 400 S West St, Raleigh, NC 27601-2193 | 2016-10-27 |
| 1255574331 | Wake Health Services, Inc | Clinic/Center | 1012 Oberlin Rd, Raleigh, NC 27605-1135 | 2009-04-20 |
| 1528209749 | Horizon Health Center | Clinic/Center | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2009-03-18 |
| 1073754289 | Rock Quarry Rd Family Medicine | Clinic/Center | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2009-03-18 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.