GOSHEN MEDICAL CENTER INCORPORATED NPI 1083739429

NPI Information

NPI: 1083739429
Provider Name: GOSHEN MEDICAL CENTER INCORPORATED

Other Name: GOSHEN MEDICAL CENTER EASTPOINTE

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
200 W. ASH ST.
STE#202
GOLDSBORO, NC
ZIP 27530
Phone: (919) 731-4941
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GOSHEN MEDICAL CENTER INCORPORATED is a federally qualified health center (fqhc) clinic center in Goldsboro, NC. GOSHEN MEDICAL CENTER INCORPORATED NPI is 1083739429. The provider is registered as an organization entity type.
The provider Other Name Is Goshen Medical Center Eastpointe.

The provider's business location address is:

200 W. ASH ST.
STE#202
GOLDSBORO, NC
ZIP 27530-679
Phone: (919) 731-4941
Fax: (919) 731-2416

The provider's authorized official is Reba W. Futrell .
The authorized official title is Executive Assistant Credentialing and has the following contact phone number (910) 267-9997.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/3/2010.

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

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	344010A	MEDICAID	NORTH CAROLINA
2	341908	MEDICARE OSCAR/CERTIFICATION	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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