| Goshen Medical Center Warsaw Wellness | |
|
113 S Pine St Warsaw NC 28398-1924 | |
| (910) 293-7246 | |
| (910) 267-8988 |
| Full Name | Goshen Medical Center Warsaw Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 113 S Pine St, Warsaw, 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 Warsaw Wellness Po Box 187 Faison NC 28341-0187 Ph: (910) 267-0421 | Goshen Medical Center Warsaw Wellness 113 S Pine St Warsaw NC 28398-1924 Ph: (910) 293-7246 |
| NPI Number | 1457477820 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/17/2015 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20061122000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457477820 | NPI | - | NPPES |
| 344008A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Goshen Medical Center- Warsaw Elementary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 Lanefield Rd, Warsaw, NC 28398 Phone: 910-267-1942 | |
Goshen Medical Center Warsaw Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 E College St, Warsaw, NC 28398 Phone: 910-293-3900 Fax: 910-293-6702 | |
Pelican Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 E College St, Warsaw, NC 28398 Phone: 855-566-7246 Fax: 855-566-7246 |