ADVANCE COMMUNITY HEALTH – NPI #1871589762
Clinic/Center

ADVANCE COMMUNITY HEALTH is an AHC clinic located in RALEIGH, NC. NPPES has assigned the NPI number 1871589762 to ADVANCE COMMUNITY HEALTH on September 26, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCE COMMUNITY HEALTH” is a dba name, the actual legal business name for this organization is ADVANCE COMMUNITY HEALTH, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Aug 05, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCE COMMUNITY HEALTH below.

NPI Profile for
ADVANCE COMMUNITY HEALTH, INC

NPI Number
1871589762
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCE COMMUNITY HEALTH, INC
Doing Business As (dba): ADVANCE COMMUNITY HEALTH
Primary location
1011 ROCK QUARRY ROAD
RALEIGH, NC 27610
Phone: (919) 250-2930 Fax: (919) 573-4734
Mailing address
1001 ROCK QUARRY ROAD
RALEIGH, NC 27610
Phone: (919) 833-3111 Fax: (919) 231-8077
Organization Subpart
No
Authorized Official
SCOT MCCRAY
CEO
Phone: (919) 833-3111
Updated
Certification Date
Aug 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANCE COMMUNITY HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSND03095
MEDICAIDNC344587A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.