Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Parent organization
GOSHEN MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOSHEN MEDICAL CENTER, INC.
Authorized official
TAMMY M HOWARD (BILLING/IT DIRECTOR)
(910) 267-0951
Entity
Organization
Contact information
Practice address
460 SW CENTER STREET, FAISON, NC 28341
(910) 267-0951
Mailing address
PO BOX 187, FAISON, NC 28341-0187
(910) 267-0421
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908911
—
NC
Enumeration date
02/06/2008
Last updated
02/22/2024
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