Provider Demographics
NPI:1134985641
Name:METROPOLITAN COMMUNITY HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:METROPOLITAN COMMUNITY HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
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:252-644-7003
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:252-644-7003
Mailing Address - Fax:
Practice Address - Street 1:151 3RD ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NC
Practice Address - Zip Code:27806-9088
Practice Address - Country:US
Practice Address - Phone:252-644-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty