Goshen Medical Center Incorporated in Mount Olive - Federally Qualified Health Center (fqhc)

Goshen Medical Center Incorporated - NPI 1043336415

Goshen Medical Center Incorporated is a Federally Qualified Health Center (fqhc) in Mount Olive, North Carolina. Goshen Medical Center Incorporated practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Goshen Medical Center Incorporated is 1043336415. The last update date is 2023-04-14.

Goshen Medical Center Incorporated's current location address is 130 Ne Center St, Mount Olive, North Carolina. You can contact this provider via phone number 9196582505 and fax number 9196580549. The mailing address for Goshen Medical Center Incorporated is 130 Ne Center St, Mount Olive, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Goshen Medical Center Incorporated
Address 130 Ne Center St, Mount Olive, North Carolina
Phone Number 9196582505
Fax Number 9196580549
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Bounds Gregory
Telephone Number 9102672057

NPI Number Detail

NPI Number 1043336415
Provider Enumeration Date 2007-03-21
Last Updated Date 2023-04-14

Provider Mailing Address Detail

Address 130 Ne Center St
City Mount Olive
State North Carolina (NC)
Post Code 283651701
Phone Number 9196582505
Fax Number 9196580549

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
344518A NC --

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FAQs about Goshen Medical Center Incorporated

What is the unique 10-digit identification code issued to Goshen Medical Center Incorporated by the Centers for Medicare & Medicaid Services?

The Goshen Medical Center Incorporated has been assigned the NPI (National Provider Identifier) 1043336415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Goshen Medical Center Incorporated is geographically located?

The Goshen Medical Center Incorporated is physically situated at the following location: 130 Ne Center St, Mount Olive, NC, 283651701.

What is the Goshen Medical Center Incorporated's area of specialization and corresponding taxonomy classification?

The Goshen Medical Center Incorporated's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1043336415 to Goshen Medical Center Incorporated?

The Centers for Medicare & Medicaid Services assigned the 1043336415 to Goshen Medical Center Incorporated on 2007-03-21.

As of what date were the Goshen Medical Center Incorporated's details last updated?

The information pertaining to the Goshen Medical Center Incorporated, including its address, specialty, and other details, was most recently updated on 2023-04-14.

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