Provider Demographics
NPI:1932849858
Name:NEIGHBORHEALTH CENTER, INC.
Entity Type:Organization
Organization Name:NEIGHBORHEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPPARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-222-8000
Mailing Address - Street 1:4201 LAKE BOONE TRL STE 5
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-7511
Mailing Address - Country:US
Mailing Address - Phone:984-222-8000
Mailing Address - Fax:984-222-8001
Practice Address - Street 1:2605 BLUE RIDGE RD STE 225
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6459
Practice Address - Country:US
Practice Address - Phone:984-222-8000
Practice Address - Fax:984-222-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1255771119Medicaid