Agape Community Health Clinic
LBN: Metropolitan Community Health Services, Inc
Agape Community Health Clinic is an health care organization with primary practice located at 120 W Martin Luther King Jr Dr , Washington NC 27889-4906. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Public Health, Federal. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Metropolitan Community Health Services, Inc can be contacted via phone (252) 940-0602, or through Doby, Laurence J via phone (252) 644-7003.
Contact Information
Primary practice address
120 W Martin Luther King Jr Dr
Washington NC 27889-4906
Phone: (252) 940-0602
Fax: (252) 940-0605
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
Ambulatory Health Care Facilities / Public Health, Federal | 261QP0904X |
Profile Details
NPI number | 1366488280 |
---|---|
LBN Legal business name | Metropolitan Community Health Services, Inc |
DBA Doing business as | Agape Community Health Clinic |
Authorized official | Doby, Laurence J |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 20th, 2006 |
Last updated | Apr 6th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366488280 | NPPES |
North Carolina | MEDICAID | 344591A | |
North Carolina | Other | 890179G | |
North Carolina | Other | 0179G |
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