Organization
WAKE HEALTH SERVICES INC.
Active
Other names
Advance Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
PENELLA M WASHINGTON (CEO)
(919) 250-2923
Entity
Organization
Contact information
Practice address
1420 N WILMINGTON ST, RALEIGH, NC 27603-2526
(919) 250-2930
(919) 573-4734
Mailing address
1001 ROCK QUARRY ROAD, RALEIGH, NC 27610
(919) 833-3111
(919) 250-2949
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NC
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03095
BCBS
NC
Enumeration date
04/22/2008
Last updated
01/23/2017
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