Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
Goshen Medical Center - Hamlet
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M BOUNDS (CEO)
(910) 267-1942
Entity
Organization
Contact information
Practice address
106 JEFFERSON ST, HAMLET, NC 28345-3100
(910) 267-2042
(910) 321-8762
Mailing address
PO BOX 187, FAISON, NC 28341-0187
(910) 267-2042
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341078
PART A MEDICARE
NC
Enumeration date
03/22/2017
Last updated
10/06/2021
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