Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
GOSHEN MEDICAL CENTER - CLINTON MOBILE UNIT, Goshen Medical Center Clinton
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M BOUNDS (CEO)
(910) 267-1237
Entity
Organization
Contact information
Practice address
906 US HIGHWAY 421, CLINTON, NC 28328-0410
(910) 592-1462
(919) 364-8367
Mailing address
412 SW CENTER STREET, FAISON, NC 28341-0187
(910) 267-1942
(910) 267-1237
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
05
—
344596A
—
NC
Enumeration date
03/21/2007
Last updated
10/06/2021
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