Healthcare Provider Details

I. General information

NPI: 1427506401
Provider Name (Legal Business Name): SIGMA HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2016
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 NAVAHO DR STE GL150
RALEIGH NC
27609-7318
US

IV. Provider business mailing address

1001 NAVAHO DR STE GL150
RALEIGH NC
27609-7318
US

V. Phone/Fax

Practice location:
  • Phone: 919-848-9108
  • Fax: 919-848-9109
Mailing address:
  • Phone: 919-868-0084
  • Fax: 919-848-9109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number092-776
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number092-776
License Number StateNC

VIII. Authorized Official

Name: MR. JAMES WARD
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential: MBA
Phone: 919-848-9108