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Organization

ROCK QUARRY RD FAMILY MEDICINE

Active
Parent organization
WAKE HEALTH SERVICES, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAKE HEALTH SERVICES, INC
Authorized official
MS. JAQUELINE MORLANDO (CFO)
(919) 250-2939
Entity
Organization

Contact information

Practice address
2620 NEW BERN AVE, RALEIGH, NC 27610-1821
(919) 255-6721
(919) 250-2949
Mailing address
1001 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-3111
(919) 834-3118

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
344586C
NC
Enumeration date
03/18/2009
Last updated
03/18/2009
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