# GOSHEN MEDICAL CENTER INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOSHEN MEDICAL CENTER FAISON DENTAL SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902084486
- **Authorized official:** GREGORY M BOUNDS (CEO)
- **Authorized official phone:** (910) 267-1942

## Contact information

- **Practice address:** 460 SW CENTER STREET, FAISON, NC 28341
- **Practice address phone:** (910) 267-0951
- **Mailing address:** PO BOX 187, FAISON, NC 28341-0187
- **Mailing address phone:** (910) 267-0421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 05/19/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5908911 | — | NC |