| St. Augustine University Careplex | |
|
1315 Oakwood Ave Raleigh NC 27610-2247 | |
| (919) 833-3111 | |
| Not Available |
| Full Name | St. Augustine University Careplex |
|---|---|
| Speciality | Clinic/Center |
| Location | 1315 Oakwood Ave, Raleigh, North Carolina |
| Authorized Official Name and Position | Scot Mccray (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9198333111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Augustine University Careplex 1001 Rock Quarry Rd Raleigh NC 27610-3825 Ph: (919) 250-2923 | St. Augustine University Careplex 1315 Oakwood Ave Raleigh NC 27610-2247 Ph: (919) 833-3111 |
| NPI Number | 1003528381 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Medicare PECOS PAC ID | 3577471697 |
|---|---|
| Medicare Enrollment ID | O20241108003357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003528381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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