Goshen Medical Center Incorporated in Garland - Federally Qualified Health Center (fqhc)
Goshen Medical Center Incorporated - NPI 1912170002
Goshen Medical Center Incorporated is a Federally Qualified Health Center (fqhc) in Garland, 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 1912170002. The last update date is 2010-09-07.
Goshen Medical Center Incorporated's current location address is 105 South Lisbon Avenue, Garland, North Carolina. You can contact this provider via phone number 9105291827 and fax number 9105291873. The mailing address for Goshen Medical Center Incorporated is 105 South Lisbon Avenue, Garland, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Goshen Medical Center Incorporated |
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Address | 105 South Lisbon Avenue, Garland, North Carolina |
Phone Number | 9105291827 |
Fax Number | 9105291873 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Futrell W. Reba |
Telephone Number | 9102671942 |
NPI Number Detail
NPI Number | 1912170002 |
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Provider Enumeration Date | 2008-04-09 |
Last Updated Date | 2010-09-07 |
Provider Mailing Address Detail
Address | 105 South Lisbon Avenue |
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City | Garland |
State | North Carolina (NC) |
Post Code | 284410398 |
Phone Number | 9105291827 |
Fax Number | 9105291873 |
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. |
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What is the unique 10-digit identifier code assigned to Goshen Medical Center Incorporated by the Centers for Medicare & Medicaid Services?
The Goshen Medical Center Incorporated has been issued the NPI (National Provider Identifier) 1912170002 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Goshen Medical Center Incorporated?
The Goshen Medical Center Incorporated is situated at 105 South Lisbon Avenue, in the city of Garland, state of NC, with the zip code 284410398.
What is the area of specialization for Goshen Medical Center Incorporated, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Goshen Medical Center Incorporated is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
When did the Goshen Medical Center Incorporated receive its 1912170002?
The Goshen Medical Center Incorporated was issued its 1912170002 on 2008-04-09, which is the date when the organization was assigned this unique identifier.
When was the information related to Goshen Medical Center Incorporated most recently updated or refreshed?
The details pertaining to the Goshen Medical Center Incorporated, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-07.
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