| Goshen Medical Center - Mount Olive Mobile Unit | |
|
325 Nc Highway 55 W Mount Olive NC 28365-8527 | |
| (910) 267-2044 | |
| Not Available |
| Full Name | Goshen Medical Center - Mount Olive Mobile Unit |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 325 Nc Highway 55 W, Mount Olive, North Carolina |
| Authorized Official Name and Position | Gregory M Bounds (CEO) |
| Authorized Official Contact | 9102671237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center - Mount Olive Mobile Unit Po Box 187 Faison NC 28341-0187 Ph: (910) 267-2042 | Goshen Medical Center - Mount Olive Mobile Unit 325 Nc Highway 55 W Mount Olive NC 28365-8527 Ph: (910) 267-2044 |
| NPI Number | 1528721891 |
|---|---|
| Provider Enumeration Date | 10/14/2021 |
| Last Update Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528721891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
Lane And Associates Iv Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Highway 55 West, Box 180, Mount Olive, NC 28365 Phone: 919-658-9555 Fax: 919-658-1009 | |
Amy M Kimes, Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Smith Chapel Rd, Mount Olive, NC 28365 Phone: 919-658-9511 | |
Joseph Ray Mooring, Jr., D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Smith Chapel Rd, Mount Olive, NC 28365 Phone: 919-658-9511 Fax: 919-658-8555 |