Organization
METROPOLITAN COMMUNITY HEALTH SERVICES, INC
Active
Other names
AGAPE COMMUNITY HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAURENCE J DOBY (OFFICE MANAGER)
(252) 644-7003
Entity
Organization
Contact information
Practice address
120 W MARTIN LUTHER KING JR DR, WASHINGTON, NC 27889-4906
(252) 940-0602
(252) 940-0605
Mailing address
PO BOX 1886, WASHINGTON, NC 27889-1886
(252) 940-0602
(252) 940-0605
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0179G
BCBS
NC
05
—
344591A
—
NC
01
—
890179G
NORTH CAROLINA ACCESS
NC
Enumeration date
06/20/2006
Last updated
04/06/2021
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