Goshen Medical Center-cape Fear | |
3613 Cape Center Dr Fayetteville NC 28304-4457 | |
(910) 354-1720 | |
(910) 267-8683 |
Full Name | Goshen Medical Center-cape Fear |
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Speciality | Clinic/Center |
Location | 3613 Cape Center Dr, Fayetteville, 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 |
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Goshen Medical Center-cape Fear Po Box 187 Faison NC 28341-0187 Ph: (910) 267-1942 | Goshen Medical Center-cape Fear 3613 Cape Center Dr Fayetteville NC 28304-4457 Ph: (910) 354-1720 |
NPI Number | 1215366216 |
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Provider Enumeration Date | 11/11/2013 |
Last Update Date | 11/11/2013 |
Medicare PECOS PAC ID | 3173434479 |
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Medicare Enrollment ID | O20140516001558 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215366216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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