Rock Quarry Rd Family Medicine

LBN: Rock Quarry Rd Family Medicine
Rock Quarry Rd Family Medicine is an health care organization with primary practice located at 2620 New Bern Ave , Raleigh NC 27610-1821. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Rock Quarry Rd Family Medicine can be contacted via phone (919) 255-6721, or through Morlando, Jaqueline via phone (919) 250-2939.

Contact Information

Primary practice address
2620 New Bern Ave Raleigh NC 27610-1821
Phone: (919) 255-6721
Fax: (919) 250-2949
Website:
Map and Directions
Authorized official contact:
Name: Morlando, Jaqueline
Phone: (919) 250-2939

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1073754289
LBN Legal business name Rock Quarry Rd Family Medicine
DBA Doing business as
Authorized official Morlando, Jaqueline
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 18th, 2009
Last updated Mar 18th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073754289 NPPES
North Carolina MEDICAID 344586C

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