| Goshen Medical Center - Hamlet | |
|
106 Jefferson St Hamlet NC 28345-3100 | |
| (910) 267-2042 | |
| (910) 321-8762 |
| Full Name | Goshen Medical Center - Hamlet |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Jefferson St, Hamlet, North Carolina |
| Authorized Official Name and Position | Gregory M Bounds (CEO) |
| 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 - Hamlet Po Box 187 Faison NC 28341-0187 Ph: (910) 267-2042 | Goshen Medical Center - Hamlet 106 Jefferson St Hamlet NC 28345-3100 Ph: (910) 267-2042 |
| NPI Number | 1023549094 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 10/06/2021 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20170825000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023549094 | NPI | - | NPPES |
| 341078 | Other | NC | PART A MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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