Healthcare Provider Details

I. General information

NPI: 1861676421
Provider Name (Legal Business Name): METCALFE HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 INDUSTRIAL DRIVE
EDMONTON KY
42129
US

IV. Provider business mailing address

PO BOX 426
EDMONTON KY
42129-0426
US

V. Phone/Fax

Practice location:
  • Phone: 270-432-2044
  • Fax: 270-432-2044
Mailing address:
  • Phone: 270-432-2044
  • Fax: 270-432-2044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TERRY SKAGGS
Title or Position: CFO
Credential:
Phone: 270-926-9355