Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Parent organization
GOSHEN MEDICAL CENTER INCORPORATED
Other names
Goshen Medical Center Beulaville
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOSHEN MEDICAL CENTER INCORPORATED
Authorized official
MRS. REBECCA M. BROWN (CREDENTIALING)
(910) 267-8252
Entity
Organization
Contact information
Practice address
119 CROSSOVER RD, BEULAVILLE, NC 28518-8801
(910) 298-3125
(910) 267-8980
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014VE
BCBS
NC
05
—
344595A
—
NC
Enumeration date
03/20/2007
Last updated
03/02/2015
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