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NPI Code Detail

MEDICARE: NEIGHBORHEALTH CENTER, INC.

MEDICARE: NEIGHBORHEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932849858
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEIGHBORHEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 4201 LAKE BOONE TRL STE 5
Second Line :
City : RALEIGH
State : NC
Zip : 27607-7511
Country : US
Telephone Number : 984-222-8000
Fax Number : 984-222-8001
Provider Business Practice Location Address
First Line : 2605 BLUE RIDGE RD STE 225
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6459
Country : US
Telephone Number : 984-222-8000
Fax Number : 984-222-8001
Authorized Official
Title or Position : CEO
Name : DANIEL LIPPARELLI
Credential :
Telephone Number : 984-222-8000
Provider Enumeration Date : 03/30/2022
Last Update Date : 04/20/2022

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