Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
Goshen Medical Center - New River
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBA W. FUTRELL (EXECUTIVE ASSISTANT/CREDENTIALING)
(910) 267-8252
Entity
Organization
Contact information
Practice address
1200 HARGETT ST, JACKSONVILLE, NC 28540-5933
(910) 219-1082
(910) 219-1087
Mailing address
444 SW CENTER ST, FAISON, NC 28341-8820
(910) 267-0421
(910) 267-8683
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/01/2010
Last updated
01/23/2012
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