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GOSHEN MEDICAL CENTER INC. NPI 1215366216


NPI Information

NPI: 1215366216
Provider Name: GOSHEN MEDICAL CENTER, INC.

Doing Business As: GOSHEN MEDICAL CENTER-CAPE FEAR

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 34D2079258

Address:
3613 CAPE CENTER DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 354-1720
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GOSHEN MEDICAL CENTER, INC. is a federally qualified health center (fqhc) clinic center in Fayetteville, NC. GOSHEN MEDICAL CENTER, INC. NPI is 1215366216. The provider is registered as an organization entity type.
The provider Is Doing Business As Goshen Medical Center-cape Fear.

The provider's business location address is:

3613 CAPE CENTER DR
FAYETTEVILLE, NC
ZIP 28304-457
Phone: (910) 354-1720
Fax: (910) 267-8683

The provider's authorized official is Rebecca M Brown .
The authorized official title is Credentialing and has the following contact phone number (910) 267-8252.

The CLIA number assigned to this NPI record is 34D2079258 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/11/2013 and was last updated on 11/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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