| Goshen Medical Center Bolton | |
|
213 9th St Bolton NC 28423-8410 | |
| (910) 655-8300 | |
| Not Available |
| Full Name | Goshen Medical Center Bolton |
|---|---|
| Speciality | Clinic/Center |
| Location | 213 9th St, Bolton, North Carolina |
| Authorized Official Name and Position | Rebecca M Brown (CREDENTIALING) |
| Authorized Official Contact | 9102678252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center Bolton Po Box 187 Faison NC 28341-0187 Ph: (910) 267-0421 | Goshen Medical Center Bolton 213 9th St Bolton NC 28423-8410 Ph: (910) 655-8300 |
| NPI Number | 1164695375 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 02/18/2015 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20090304000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164695375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bolton Health & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 9th St, Bolton, NC 28423 Phone: 910-655-8830 |