| Wake Health Services, Inc | |
|
102 N Tarboro Rd Raleigh NC 27610-2352 | |
| (919) 743-3315 | |
| (919) 743-0580 |
| Full Name | Wake Health Services, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 102 N Tarboro Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Jackie Morlando (CHIEF FINIANCIAL OFFICER) |
| Authorized Official Contact | 9192502939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Health Services, Inc 102 N Tarboro Rd Raleigh NC 27610-2352 Ph: (919) 743-3315 | Wake Health Services, Inc 102 N Tarboro Rd Raleigh NC 27610-2352 Ph: (919) 743-3315 |
| NPI Number | 1326034208 |
|---|---|
| Provider Enumeration Date | 09/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326034208 | 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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