Organization
GOSHEN MEDICAL CENTER, INC
Active
Organization
GOSHEN MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M BOUNDS (CEO)
(910) 267-0421
Entity
Organization
Contact information
Practice address
444 SW CENTER ST, FAISON, NC 28341-8820
(910) 267-0421
(910) 267-0441
Mailing address
PO BOX 187, FAISON, NC 28341-0187
(910) 267-0421
(910) 267-0441
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344558A
—
NC
Enumeration date
05/27/2006
Last updated
12/16/2024
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