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
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