Provider Demographics
NPI:1801222716
Name:METROPOLITAN COMMUNITY HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:METROPOLITAN COMMUNITY HEALTH SERVICES, INC
Other - Org Name:AGAPE COMMUNITY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-495-0155
Mailing Address - Street 1:PO BOX 1886
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-1886
Mailing Address - Country:US
Mailing Address - Phone:252-789-0401
Mailing Address - Fax:252-789-0452
Practice Address - Street 1:1130 GODWIN DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-6828
Practice Address - Country:US
Practice Address - Phone:252-789-0401
Practice Address - Fax:252-789-0452
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METROPOLITAN COMMUNITY HEALTH SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-24
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)