ADVANCE COMMUNITY HEALTH, INC (NPI# 1285186080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285186080 |
| Entity Type | Organization |
| Organization Name | ADVANCE COMMUNITY HEALTH, INC |
| Other Organization Name | ADVANCE COMMUNITY HEALTH |
| Practice Address |
400 S West St Raleigh NC 27601-2193 |
| Mailing Address |
1001 Rock Quarry Rd Raleigh NC 27610-3825 |
| Practice Telephone | 9198333111 |
| Practice Fax Number | 9198343118 |
| Mailing Telephone | 9192502934 |
| Mailing Fax Number | 9195734734 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | PENELLA M WASHINGTON (CEO) |
| Authorized Official Telephone | 9192502934 |
| Is Organization Subpart | N |
| 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 |
|---|---|
| Advance Community Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447702634 | Advance Community Health, Inc | Clinic/Center | 173 High Horse Road, Cary, NC 27511-6715 | 2016-11-04 |
| 1114479011 | Advance Community Health, Inc | Clinic/Center | 1430 S Wilmington St, Raleigh, NC 27603-2526 | 2016-10-27 |
| 1952760290 | Advance Community Health, Inc | Clinic/Center | 187 High House Rd, Cary, NC 27511-6715 | 2016-02-15 |
| 1497918338 | Advance Community Health, Inc | Clinic/Center | 111 S. Church Street, Louisburg, NC 27549-0001 | 2008-07-09 |
| 1598751463 | Advance Community Health, Inc | Clinic/Center | 212 S Salem St, Apex, NC 27502-1825 | 2005-09-26 |
| 1114913092 | Advance Community Health, Inc | Clinic/Center | 130 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2367 | 2005-09-26 |
| 1245223783 | Advance Community Health, Inc | Clinic/Center | 1011 Rock Quarry Road, Raleigh, NC 27610 | 2005-08-30 |
| 1871191304 | Advance Community Health, Inc | Clinic/Center | 187 High House Rd, Cary, NC 27511-6715 | 2020-10-16 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADVANCE COMMUNITY HEALTH, INC. | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 |
| Street Address |
400 S WEST ST |
| City | RALEIGH |
| State | NC |
| Zip Code | 27601-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
| 1700428513 | Amanda Sue Abner | Behavior Technician | 421 Fayetteville St. Suite 1100, Raleigh, NC 27601 | 2019-10-14 |
| 1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
| 1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
| 1902346067 | Nc Community Care Services Inc | Day Training, Developmentally Disabled Services | 555 Fayetteville Street, Ste. 201, Raleigh, NC 27601 | 2017-03-08 |
| 1649712399 | Sleep Health and Wellness Center, Pllc | Sleep Specialist, PhD | 555 S Wilmington St, Suite 201, Raleigh, NC 27601 | 2016-11-12 |
| 1093267817 | Kristen Ashley Eubanks | Behavior Technician | 421 Fayetteville Street Suite 1100, Raleigh, NC 27601 | 2016-10-27 |
| 1205281631 | Kayla Christian Hart | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 27601 | 2016-05-04 |
| 1457759003 | Vanessa Lech | Social Worker | 555 Fayetteville St, Suite 201, Raleigh, NC 27601 | 2014-12-15 |
| 1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
| Find all providers in zip 27601 | ||||
| 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 |
| 1255574331 | Wake Health Services, Inc | Clinic/Center | 1012 Oberlin Rd, Raleigh, NC 27605-1135 | 2009-04-20 |
| 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 | ||||
Please comment or provide details below to improve the information on ADVANCE COMMUNITY HEALTH, INC.
| 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.