Goshen Medical Center Trenton | |
104 E Lakeview Dr Trenton NC 28585-8893 | |
(252) 448-4321 | |
(252) 448-1073 |
Full Name | Goshen Medical Center Trenton |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 104 E Lakeview Dr, Trenton, North Carolina |
Authorized Official Name and Position | Reba W. Futrell (EXECUTIVE ASSISTANT/CREDENTIALING) |
Authorized Official Contact | 9102679997 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Goshen Medical Center Trenton 412 Sw Center St Faison NC 28341-8820 Ph: (910) 267-0421 | Goshen Medical Center Trenton 104 E Lakeview Dr Trenton NC 28585-8893 Ph: (252) 448-4321 |
NPI Number | 1750407128 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 08/03/2010 |
Identifier | Type | State | Issuer |
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1750407128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Jones County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 418 Nc Highway 58 N Unit C, Trenton, NC 28585 Phone: 252-448-9111 Fax: 252-448-1443 |