Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
Goshen Medical Center - Kenansville
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M BOUNDS (CEO)
(910) 267-1237
Entity
Organization
Contact information
Practice address
102 N MAIN ST, SUITE 2, KENANSVILLE, NC 28349-0001
(910) 275-0195
(910) 275-0192
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
Enumeration date
05/01/2018
Last updated
09/27/2021
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