| Goshen Medical Center - Rosewood | |
|
104 Adair Dr # A Goldsboro NC 27530-4516 | |
| (919) 648-4435 | |
| (910) 267-8932 |
| Full Name | Goshen Medical Center - Rosewood |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 Adair Dr # A, Goldsboro, North Carolina |
| Authorized Official Name and Position | Rebecca M Brown (CREDENTIALING) |
| Authorized Official Contact | 9102678252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center - Rosewood 444 Sw Center St Faison NC 28341-8820 Ph: (910) 267-0421 | Goshen Medical Center - Rosewood 104 Adair Dr # A Goldsboro NC 27530-4516 Ph: (919) 648-4435 |
| NPI Number | 1194128991 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 09/25/2020 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20141213000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194128991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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