Provider Type Icon

GOSHEN MEDICAL CENTER INCORPORATED NPI 1023549094


NPI Information

NPI: 1023549094
Provider Name: GOSHEN MEDICAL CENTER INCORPORATED

Doing Business As: GOSHEN MEDICAL CENTER - HAMLET

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 34D2131187

Address:
106 JEFFERSON ST
HAMLET, NC
ZIP 28345
Phone: (910) 267-2042
Get Directions

GOSHEN MEDICAL CENTER INCORPORATED is a federally qualified health center (fqhc) clinic center in Hamlet, NC. GOSHEN MEDICAL CENTER INCORPORATED NPI is 1023549094. The provider is registered as an organization entity type.
The provider Is Doing Business As Goshen Medical Center - Hamlet.

The provider's business location address is:

106 JEFFERSON ST
HAMLET, NC
ZIP 28345-100
Phone: (910) 267-2042
Fax: (910) 321-8762

The provider's authorized official is Gregory M Bounds .
The authorized official title is Ceo and has the following contact phone number (910) 267-1942.

The CLIA number assigned to this NPI record is 34D2131187 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/22/2017 and was last updated on 10/6/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1341078OTHERNORTH CAROLINAPART A MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.