Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
Goshen Medical Center - Mount Olive Mobile Unit
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M BOUNDS (CEO)
(910) 267-1237
Entity
Organization
Contact information
Practice address
325 NC HIGHWAY 55 W, MOUNT OLIVE, NC 28365-8527
(910) 267-2044
Mailing address
PO BOX 187, FAISON, NC 28341-0187
(910) 267-2042
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
10/14/2021
Last updated
11/02/2021
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