Organization
ADVANCE COMMUNITY HEALTH, INC
Active
Parent organization
ADVANCE COMMUNITY HEALTH, INC
Other names
Advance Community Health - Mobile Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCE COMMUNITY HEALTH, INC
Authorized official
PENELLA MOTEN WASHINGTON (CHIEF EXECUTIVE OFFICER)
(919) 833-3111
Entity
Organization
Contact information
Practice address
187 HIGH HOUSE RD, CARY, NC 27511-6715
(919) 833-3111
(919) 834-3118
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
Enumeration date
10/16/2020
Last updated
10/16/2020
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