Healthcare Provider Details

I. General information

NPI: 1891590444
Provider Name (Legal Business Name): METROPOLITAN COMMUNITY HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 CAROLINA AVE
WASHINGTON NC
27889-3571
US

IV. Provider business mailing address

101 S MARKET ST
WASHINGTON NC
27889-4952
US

V. Phone/Fax

Practice location:
  • Phone: 252-644-7003
  • Fax:
Mailing address:
  • Phone: 252-644-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LAURENCE J DOBY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 252-644-7003