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 |
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Address | 130 Ne Center St, Mount Olive, North Carolina |
Phone Number | 9196582505 |
Fax Number | 9196580549 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Bounds Gregory |
Telephone Number | 9102672057 |
NPI Number Detail
NPI Number | 1043336415 |
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Provider Enumeration Date | 2007-03-21 |
Last Updated Date | 2023-04-14 |
Provider Mailing Address Detail
Address | 130 Ne Center St |
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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) |
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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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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.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY