WAKE HEALTH SERVICES INC. (NPI# 1992979934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992979934 |
| Entity Type | Organization |
| Organization Name | WAKE HEALTH SERVICES INC. |
| Other Organization Name | ADVANCE COMMUNITY HEALTH |
| Practice Address |
1420 N Wilmington St Raleigh NC 27603-2526 |
| Mailing Address |
1001 Rock Quarry Road Raleigh NC 27610 |
| Practice Telephone | 9192502930 |
| Practice Fax Number | 9195734734 |
| Mailing Telephone | 9198333111 |
| Mailing Fax Number | 9192502949 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2017-01-23 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
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 | BCBS | 03095 | 01 |
| Other Name | Type Code |
|---|---|
| Advance Community Health | Doing Business As Name - Organization |
| Street Address |
1420 N WILMINGTON ST |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1417238189 | Crystal Shawnette Yarborough | Counselor | 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 | 2011-09-07 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
| Find all providers in zip 27603 | ||||
| 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 |
| 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 |
| 1255572475 | Advance Community Health, Inc | Clinic/Center | 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 | 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.