Organization
ADVANCE COMMUNITY HEALTH, INC
Active
Other names
Advance Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
SCOT MCCRAY (CEO)
(919) 833-3111
Entity
Organization
Contact information
Practice address
1011 ROCK QUARRY ROAD, RALEIGH, NC 27610
(919) 833-3111
(919) 573-4734
Mailing address
1001 ROCK QUARRY ROAD, RALEIGH, NC 27610
(919) 833-3111
(919) 231-8077
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013WU
BCBS
NC
05
—
344587D
—
NC
Enumeration date
10/31/2005
Last updated
09/14/2022
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