| Goshen Medical Center Garland | |
|
105 South Lisbon Avenue Garland NC 28441-0398 | |
| (910) 529-1827 | |
| (910) 529-1873 |
| Full Name | Goshen Medical Center Garland |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 South Lisbon Avenue, Garland, North Carolina |
| Authorized Official Name and Position | Reba W. Futrell (EXECUTIVE ASSISTANT/CREDENTIALING) |
| Authorized Official Contact | 9102671942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center Garland Po Box 187 Faison NC 28341-0187 Ph: (910) 267-0421 | Goshen Medical Center Garland 105 South Lisbon Avenue Garland NC 28441-0398 Ph: (910) 529-1827 |
| NPI Number | 1912170002 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 09/07/2010 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20100526000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912170002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Garland Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 S. Lisbon Ave, Garland, NC 28441 Phone: 910-529-1827 Fax: 910-529-1873 |