NPIMap

Organization Active NPI

Rock Quarry Rd Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
National Provider Identifier
1073754289
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ROCK QUARRY RD FAMILY MEDICINE
Practice address
2620 New Bern Ave
Raleigh, NC 27610-1821
Phone
(919) 255-6721
Fax
(919) 250-2949
NPI assigned
Mar 18, 2009
Organization subpart
Yes
Parent organization
WAKE HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jaqueline Morlando
Title
Cfo
Phone
(919) 250-2939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2620 New Bern Ave
Raleigh, NC 27610-1821

Mailing address

1001 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

Other identifiers 1

IdentifierTypeStateIssuer
344586CMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Wake Health Services in17 organizations share this tax ID, including this one
Part of
Wake Health Services in

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1073754289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825",
            "telephone_number": "919-833-3111",
            "fax_number": "919-834-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101821",
            "telephone_number": "919-255-6721",
            "fax_number": "919-250-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK QUARRY RD FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKE HEALTH SERVICES, INC",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "MORLANDO",
        "authorized_official_first_name": "JAQUELINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-250-2939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344586C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.