| Neighborhealth Center, Inc. | |
|
4201 Lake Boone Trl Ste 5 Raleigh NC 27607-7511 | |
| (919) 332-7467 | |
| Not Available |
| Full Name | Neighborhealth Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4201 Lake Boone Trl Ste 5, Raleigh, North Carolina |
| Authorized Official Name and Position | Larry Chewning (INTERIM CEO) |
| Authorized Official Contact | 9842228000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhealth Center, Inc. 4201 Lake Boone Trl Ste 5 Raleigh NC 27607-7511 Ph: () - | Neighborhealth Center, Inc. 4201 Lake Boone Trl Ste 5 Raleigh NC 27607-7511 Ph: (919) 332-7467 |
| NPI Number | 1255771119 |
|---|---|
| Provider Enumeration Date | 06/25/2013 |
| Last Update Date | 08/27/2021 |
| Medicare PECOS PAC ID | 1153677604 |
|---|---|
| Medicare Enrollment ID | O20190906000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255771119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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