Organization
GOSHEN MEDICAL CENTER, INC.
Active
Organization
GOSHEN MEDICAL CENTER, INC.
Active
Other names
Goshen Medical Center - Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
REBA W. FUTRELL (EXECUTIVE ASSISTANT CREDENTIALING)
(910) 267-9997
Entity
Organization
Contact information
Practice address
212 DUPLIN ST, KENANSVILLE, NC 28349
(910) 296-0790
(910) 296-0879
Mailing address
PO BOX 187, FAISON, NC 28341-0187
(910) 267-0421
(910) 267-0441
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
05/28/2010
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