Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
Community Health Services, 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
(919) 658-5900
(919) 658-0101
Mailing address
412 SW CENTER ST, FAISON, NC 28341-8820
(910) 267-0421
(910) 267-0441
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0168B
BCBS
NC
05
—
344579A
—
NC
Enumeration date
03/21/2007
Last updated
11/02/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up