WAKE HEALTH SERVICES, INC (NPI# 1255574331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255574331 |
| Entity Type | Organization |
| Organization Name | WAKE HEALTH SERVICES, INC |
| Other Organization Name | OBERLIN OUTREACH CENTER |
| Practice Address |
1012 Oberlin Rd Raleigh NC 27605-1135 |
| Mailing Address |
2620 New Bern Ave Raleigh NC 27610-1821 |
| Practice Telephone | 9198333111 |
| Practice Fax Number | 9192502949 |
| Mailing Telephone | 9192502944 |
| Mailing Fax Number | 9192502949 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | MS. JACQUELINE MORLANDO (CFO) |
| Authorized Official Telephone | 9192502939 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKE HEALTH SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OBERLIN OUTREACH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034208 | Wake Health Services, Inc | Clinic/Center | 102 N Tarboro Rd, Raleigh, NC 27610-2352 | 2005-09-26 |
| Street Address |
1012 OBERLIN RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27605-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164628020 | Southlight Healthcare | Counselor | 1012 Oberlin Rd, Suite 300, Raleigh, NC 27605-1135 | 2007-06-26 |
| 1386290146 | Deanna Elizabeth Groth | Social Worker | 1012 Oberlin Rd, Raleigh, NC 27605-1242 | 2019-08-16 |
| 1629485354 | Mary Ann Johnson | Marriage & Family Therapist | 1012 Oberlin Rd, Suite 300, Raleigh, NC 27605-1242 | 2014-07-15 |
| 1306258140 | Jennifer Santitoro | Social Worker | 1012 Oberlin Rd, Raleigh, NC 27605-1242 | 2014-05-28 |
| 1265867857 | Easter Seals Ucp North Carolina & Virginia | Community/Behavioral Health | 1012 Oberlin Rd, Raleigh, NC 27605-1242 | 2013-09-13 |
| 1295012441 | Andrea Maxwell Treimel | Social Worker | 1012 Oberlin Rd, Suite 300, Raleigh, NC 27605-1242 | 2011-11-15 |
| 1780830596 | Elena Eloise Johnson | Counselor | 1012 Oberlin Rd, Suite 300, Raleigh, NC 27605-1242 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982195509 | Kelsey Luvender Garner | Counselor | 1405 Hillsborough St # 104, Raleigh, NC 27605 | 2018-05-21 |
| 1760972046 | Brandi Teetor | Social Worker | 801 Oberlin Rd Ste 310, Raleigh, NC 27605 | 2018-05-13 |
| 1497264188 | Jasmine Campbell | Behavior Technician | 505 Oberlin Road, 230, Raleigh, NC 27605 | 2017-09-25 |
| 1487087722 | Cornelius Toliver | Pharmacist | 815 Oberlin Road, Raleigh, NC 27605 | 2013-08-09 |
| 1811218449 | Pushpesh Bhandari | Pharmacist | 501 Woodburn Rd, Raleigh, NC 27605 | 2010-06-17 |
| 1275627739 | Paige Corinne Tharrington | Counselor | 800 St. Mary's Street, Suite 401, Raleigh, NC 27605 | 2006-10-02 |
| 1699740118 | Mary Sue Huelsbeck | Psychologist | 629 Oberlin Road, Raleigh, NC 27605 | 2006-02-19 |
| 1245215177 | Ashley H Lloyd | Dentist | 1330 St. Marys St, Suite B30, Raleigh, NC 27605 | 2005-12-14 |
| 1457814709 | Hannah Rose Tucker | Physical Therapist | 815 Oberlin Rd Ste 302, Raleigh, NC 27605 | 2019-04-12 |
| 1235676578 | Ian Brown | Physician Assistant | 815 Oberlin Road, #200, Raleigh, NC 27605 | 2017-01-25 |
| Find all providers in zip 27605 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114479011 | Advance Community Health, Inc | Clinic/Center | 1430 S Wilmington St, Raleigh, NC 27603-2526 | 2016-10-27 |
| 1992979934 | Wake Health Services Inc. | Clinic/Center | 1420 N Wilmington St, Raleigh, NC 27603-2526 | 2008-04-22 |
| 1326034208 | Wake Health Services, Inc | Clinic/Center | 102 N Tarboro Rd, Raleigh, NC 27610-2352 | 2005-09-26 |
| 1245223783 | Advance Community Health, Inc | Clinic/Center | 1011 Rock Quarry Road, Raleigh, NC 27610 | 2005-08-30 |
| 1992257190 | Advance Community Health, Inc | Clinic/Center | 1430 S Wilmington St, Raleigh, NC 27603-2526 | 2016-11-04 |
| 1801348008 | Advance Community Health, Inc | Clinic/Center | 112 Cox Ave, Raleigh, NC 27605-1817 | 2016-11-04 |
| 1285186080 | Advance Community Health, Inc | Clinic/Center | 400 S West St, Raleigh, NC 27601-2193 | 2016-10-27 |
| 1528209749 | Horizon Health Center | Clinic/Center | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2009-03-18 |
| 1073754289 | Rock Quarry Rd Family Medicine | Clinic/Center | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2009-03-18 |
| 1255572475 | Advance Community Health, Inc | Clinic/Center | 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 | 2009-03-18 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.