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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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