Provider Demographics
NPI:1326627399
Name:METROPOLITAN COMMUNITY HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:METROPOLITAN COMMUNITY HEALTH SERVICES, INC.
Other - Org Name:AGAPE HEALTH SERVICES- PLYMOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-644-7003
Mailing Address - Street 1:115 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NC
Mailing Address - Zip Code:27962-1307
Mailing Address - Country:US
Mailing Address - Phone:252-789-0401
Mailing Address - Fax:
Practice Address - Street 1:115 ADAMS ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NC
Practice Address - Zip Code:27962-1307
Practice Address - Country:US
Practice Address - Phone:252-741-3421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)