NPIMap

Organization Active NPI

Advance Community Health, Inc

Doing business as Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Louisburg, NC
National Provider Identifier
1497918338
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ADVANCE COMMUNITY HEALTH, INC
Doing business as
Advance Community Health
Practice address
111 S. Church Street
Louisburg, NC 27549-0001
Phone
(919) 250-2923
Fax
(919) 573-4734
NPI assigned
Jul 9, 2008
Last updated
Aug 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Scot McCray
Title
Ceo
Phone
(919) 833-3111

Specialties & licenses 2

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

Addresses

Primary practice location

111 S. Church Street
Louisburg, NC 27549-0001

Mailing address

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

Other names 1

  • Advance Community Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497918338. Details of each certification follow.

  • CCN 341937 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 341937

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FRANKLIN COMMUNITY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 30, 2008
Last certification
Oct 30, 2008
Ownership / control type
For profit – corporation
Facility address
111 S Church St
Louisburg, NC 27549

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1497918338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROCK QUARRY ROAD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-833-3111",
            "fax_number": "919-573-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S. CHURCH STREET",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275490001",
            "telephone_number": "919-250-2923",
            "fax_number": "919-573-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE COMMUNITY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-833-3111"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Community Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advance Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisburg, NC

Sources for this page

Verify at the official NPI Registry.