GOSHEN MEDICAL CENTER INCORPORATED NPI 1902474547

NPI Information

NPI: 1902474547
Provider Name: GOSHEN MEDICAL CENTER INCORPORATED

Doing Business As: GOSHEN MEDICAL CENTER - FAYETTEVILLE

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1248 FORT BRAGG RD STE 200
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 486-6818
Get Directions

GOSHEN MEDICAL CENTER INCORPORATED is a federally qualified health center (fqhc) clinic center in Fayetteville, NC. GOSHEN MEDICAL CENTER INCORPORATED NPI is 1902474547. The provider is registered as an organization entity type.
The provider Is Doing Business As Goshen Medical Center - Fayetteville.

The provider's business location address is:

1248 FORT BRAGG RD STE 200
FAYETTEVILLE, NC
ZIP 28305-982
Phone: (910) 486-6818

The provider's authorized official is Gregory M Bounds .
The authorized official title is Ceo and has the following contact phone number (910) 267-1237.

The CLIA number assigned to this NPI record is 34D0923898 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2021 and was last updated on 6/10/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally 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

NPI Synchronization or Removal

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