Provider Demographics
NPI:1861676421
Name:METCALFE HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:METCALFE HEALTH SERVICES, INC.
Other - Org Name:METCALFE COUNTY ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SKAGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-926-9355
Mailing Address - Street 1:PO BOX 426
Mailing Address - Street 2:
Mailing Address - City:EDMONTON
Mailing Address - State:KY
Mailing Address - Zip Code:42129-0426
Mailing Address - Country:US
Mailing Address - Phone:270-432-2044
Mailing Address - Fax:270-432-2044
Practice Address - Street 1:770 INDUSTRIAL DRIVE
Practice Address - Street 2:
Practice Address - City:EDMONTON
Practice Address - State:KY
Practice Address - Zip Code:42129
Practice Address - Country:US
Practice Address - Phone:270-432-2044
Practice Address - Fax:270-432-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care