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Organization

GOSHEN MEDICAL CENTER INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREG BOUNDS (CEO)
(910) 267-1942
Entity
Organization

Contact information

Practice address
4654 LONG BEACH RD SE, SOUTHPORT, NC 28461-8799
(910) 457-0070
Mailing address
444 SW CENTER ST, FAISON, NC 28341-8820
(910) 267-0421
(855) 996-9090

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
10/20/2016
Last updated
05/29/2019
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