Organization Name: | WAKE HEALTH SERVICES, INC |
NPI Number: | 1477788511 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE MORLANDO (CFO) |
Mailing Address: | 3386 Us 1 Hwy Franklinton |
State: | NC US |
Postal Code: | 275258403 |
Phone Number: | 9194942493 |
Fax Number: | 9194945246 |
NPI Enumeration Date: | 05/19/2009 |
NPI Last Update Date: | 05/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |