Advance Community Health, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Louisburg, NC
NPI 1497918338 · NPPES record last updated Aug 5, 2022
Key facts
- NPI
- 1497918338
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ADVANCE COMMUNITY HEALTH, INC
- Practice address
- 111 S. Church Street
Louisburg, NC 27549-0001 - Phone
- (919) 250-2923
- Fax
- (919) 573-4734
- NPI assigned
- Jul 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Scot McCray
- Title
- Ceo
- Phone
- (919) 833-3111
Other NPIs on the same Medicare enrollment 13
Practitioners 55
-
Aloysius Abaya, FNP
-
Jeanne Clark Bernat, FNP
-
Raina Briggs, LCSW
-
Chinyere Bassey Chima, DNP, FNP, PMHNP
-
Erin Ann Downey, FNP
-
Ziad Chahine El Tannir, PA-C
-
Glenn Louis Feole, M.D.
-
Christa Martina Fleming, PA-C
-
Aries Hamlet, PA-C
-
Deanna Harris, MD
-
Victoria Lynn Harris, PA-C
-
Heidi Marie Hughes, FNP-C
-
Nisha Kotecha, F.N.P.
-
Xiaohuan Li, M.D.
-
Mary Katherine Macaluso, PA-C
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | NC | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344015A | Medicaid | NC | |
| 03095 | Other | NC | BCBS |
Other names
- Advance Community Health
Other providers in Louisburg, NC
- A New Life Chapter PLLC
- Above Medical Supply LLC
- Active Medical Inc
- Shirley Dawson Adams
- Advance Community Health, Inc
- Advance Community Health, Inc
- Ajinda II
- Sarah Aljaafari
- Alaina Shari Allen
- Kathryn Allen
All providers in Louisburg, 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 Aug 5, 2022. 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.