Goshen Medical Center Incorporated
NPI #1912022369 in Wallace, North Carolina
Provider Information
- NPI Number
- 1912022369
- Entity Type
- Organization
- Organization Name
- Goshen Medical Center Incorporated
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Feb 6, 2012
Practice Location
- Address
- 110 EASTWOOD DRIVE
- City
- Wallace
- State
- North Carolina
- ZIP Code
- 28466-9236
- Phone
- (910) 285-2330
Authorized Official
- Name
- REBA W. FUTRELL
- Title
- EXECUTIVE ASSISTANT/CREDENTIALING
- Phone
- (910) 267-8252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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