Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
Plainview Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
REBA W. FUTRELL (EXECUTIVE ASSISTANT CREDENTIALING)
(910) 267-9997
Entity
Organization
Contact information
Practice address
360 E CHARITY RD, ROSE HILL, NC 28458-8303
(910) 289-3086
(910) 289-2413
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122C
BCBS
NC
05
—
344557A
—
NC
Enumeration date
03/21/2007
Last updated
08/19/2010
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