Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
Goshen Medical Center Eastpointe
Organization subpart
No
Provider details
NPI number
Authorized official
REBA W. FUTRELL (EXECUTIVE ASSISTANT CREDENTIALING)
(910) 267-9997
Entity
Organization
Contact information
Practice address
200 W. ASH ST., STE#202, GOLDSBORO, NC 27530-3679
(919) 731-4941
(919) 731-2416
Mailing address
412 SW CENTER ST, FAISON, NC 28341-8820
(910) 267-0421
(910) 267-0441
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344010A
—
NC
Enumeration date
03/21/2007
Last updated
08/03/2010
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