| Goshen Medical Center - Grantsboro | |
|
11179c Highway 55 Grantsboro NC 28529 | |
| (910) 267-2042 | |
| Not Available |
| Full Name | Goshen Medical Center - Grantsboro |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 11179c Highway 55, Grantsboro, 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 - Grantsboro Po Box 187 Faison NC 28341-0187 Ph: (910) 267-2042 | Goshen Medical Center - Grantsboro 11179c Highway 55 Grantsboro NC 28529 Ph: (910) 267-2042 |
| NPI Number | 1578061131 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 01/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578061131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Nova Urgent Care And Family Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11179 Hwy 55, Grantsboro, NC 28529 Phone: 252-745-7440 Fax: 252-745-7422 |