| Advance Community Health, Inc | |
|
130 N Judd Pkwy Ne Fuquay Varina NC 27526-2367 | |
| (919) 833-3111 | |
| (919) 834-3118 |
| Full Name | Advance Community Health, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 130 N Judd Pkwy Ne, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Penella M Washington (CEO) |
| Authorized Official Contact | 9192502923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Community Health, Inc 1001 Rock Quarry Rd Raleigh NC 27610-3825 Ph: (919) 833-3111 | Advance Community Health, Inc 130 N Judd Pkwy Ne Fuquay Varina NC 27526-2367 Ph: (919) 833-3111 |
| NPI Number | 1982845103 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982845103 | NPI | - | NPPES |
| 344584C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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