Provider Demographics
NPI:1750335030
Name:METRO HEALTH INC
Entity type:Organization
Organization Name:METRO HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:RUBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-780-7000
Mailing Address - Street 1:4208 19TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-2405
Mailing Address - Country:US
Mailing Address - Phone:806-797-8099
Mailing Address - Fax:806-799-1433
Practice Address - Street 1:4208 19TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-2405
Practice Address - Country:US
Practice Address - Phone:806-797-8099
Practice Address - Fax:806-799-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007727251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67Q9161001Medicare ID - Type UnspecifiedBRANCH PROVIDER NUMBER
TX679161Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER