| Advance Community Health | |
|
130 N Judd Pkwy Ne Fuquay Varina NC 27526-2367 | |
| (919) 557-1110 | |
| (919) 557-1102 |
| Full Name | Advance Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 N Judd Pkwy Ne, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Scot Mccray (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8564494068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Community Health 1001 Rock Quarry Rd Raleigh NC 27610-3825 Ph: (919) 833-3111 | Advance Community Health 130 N Judd Pkwy Ne Fuquay Varina NC 27526-2367 Ph: (919) 557-1110 |
| NPI Number | 1114913092 |
|---|---|
| Provider Enumeration Date | 09/26/2005 |
| Last Update Date | 03/22/2022 |
| Medicare PECOS PAC ID | 3577471697 |
|---|---|
| Medicare Enrollment ID | O20111209000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114913092 | NPI | - | NPPES |
| 344589A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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