| Goshen Medical Center - Star | |
|
103 Cotton Creek Rd Star NC 27356-7954 | |
| (910) 226-4970 | |
| Not Available |
| Full Name | Goshen Medical Center - Star |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 Cotton Creek Rd, Star, North Carolina |
| Authorized Official Name and Position | Gregory M Bounds (CEO) |
| Authorized Official Contact | 9102264970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center - Star Po Box 187 Faison NC 28341-0187 Ph: (910) 226-4970 | Goshen Medical Center - Star 103 Cotton Creek Rd Star NC 27356-7954 Ph: (910) 226-4970 |
| NPI Number | 1285337048 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 07/27/2023 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20230829002858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285337048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Montgomery County Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Cotton Creek Rd, Star, NC 27356 Phone: 910-428-9020 Fax: 910-428-9022 | |
Cnc Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Okeewemee Star Rd, Star, NC 27356 Phone: 910-428-1111 Fax: 910-428-2506 |