Goshen Medical Center, Inc.

NPI #1265767172 in Kenansville, North Carolina

Provider Information

NPI Number
1265767172
Entity Type
Organization
Organization Name
Goshen Medical Center, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 9, 2009
Last Updated
May 28, 2010

Practice Location

Address
212 DUPLIN ST
ZIP Code
28349
Phone
(910) 296-0790

Authorized Official

Name
REBA W. FUTRELL
Title
EXECUTIVE ASSISTANT CREDENTIALING
Phone
(910) 267-9997

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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