Goshen Medical Center, Incorporated | |
630 S Madison St Whiteville NC 28472-4130 | |
(910) 642-7463 | |
(910) 642-2668 |
Full Name | Goshen Medical Center, Incorporated |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 630 S Madison St, Whiteville, North Carolina |
Authorized Official Name and Position | Greg Bounds (CEO) |
Authorized Official Contact | 9102671942 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Goshen Medical Center, Incorporated 444 Sw Center St Faison NC 28341-8820 Ph: (910) 267-0421 | Goshen Medical Center, Incorporated 630 S Madison St Whiteville NC 28472-4130 Ph: (910) 642-7463 |
NPI Number | 1114479326 |
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Provider Enumeration Date | 11/04/2016 |
Last Update Date | 11/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114479326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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