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GOSHEN MEDICAL CENTER INCORPORATED NPI 1285291211


NPI Information

NPI: 1285291211
Provider Name: GOSHEN MEDICAL CENTER INCORPORATED

Doing Business As: GOSHEN MEDICAL CENTER - RAEFORD

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 34D2171458

Address:
102 W SOUTHERN AVE
RAEFORD, NC
ZIP 28376
Phone: (910) 565-5110
Get Directions

GOSHEN MEDICAL CENTER INCORPORATED is a federally qualified health center (fqhc) clinic center in Raeford, NC. GOSHEN MEDICAL CENTER INCORPORATED NPI is 1285291211. The provider is registered as an organization entity type.
The provider Is Doing Business As Goshen Medical Center - Raeford.

The provider's business location address is:

102 W SOUTHERN AVE
RAEFORD, NC
ZIP 28376-218
Phone: (910) 565-5110
Fax: (910) 321-8779

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 34D2171458 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/24/2019 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
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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