Wake Health Services, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Raleigh, NC
NPI 1255574331 · NPPES record last updated Apr 20, 2009
Key facts
- NPI
- 1255574331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- WAKE HEALTH SERVICES, INC
- Practice address
- 1012 Oberlin Rd
Raleigh, NC 27605-1135 - Phone
- (919) 833-3111
- Fax
- (919) 250-2949
- NPI assigned
- Apr 20, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- WAKE HEALTH SERVICES, INC
Authorized official
- Name
- Ms. Jacqueline Morlando
- Title
- Cfo
- Phone
- (919) 250-2939
Other NPIs on the same Medicare enrollment 13
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040824000695 | NC | Part B Supplier - Clinic/Group Practice | 3577471697 |
Receives reassigned benefits from 91 practitioners 13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wendell, NC; Wake Forest, NC; Raleigh, NC; Louisburg, NC; Apex, NC; Cary, NC; Holly Springs, NC; Fuquay Varina, NC |
National Provider Directory
- Part of
- Wake Health Services in
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1012 Oberlin Rd
Raleigh, NC 27605-1135
Mailing address
2620 New Bern Ave
Raleigh, NC 27610-1821
Phone (919) 250-2944
Other names
- OBERLIN OUTREACH CENTER
Other providers in Raleigh, NC
- Wake Endoscopy Center, LLC
- Wake Enterprises Inc
- Wake Forest Counseling Associates, PLLC
- Wake Health Services
- Wake Health Services Inc.
- Wake Health Services, Inc
- Wake Health Services, Inc.
- Wake Heart and Vascular Associates P.a.
- Wake Heart and Vascular Associates P.a.
- Wake Heart and Vascular Associates P.a.
All providers in Raleigh, NC · Federally Qualified Health Center (FQHC) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.