Organization · Type 2 NPI

Goshen Medical Center Incorporated

Federally Qualified Health Center (FQHC) · Mount Olive, NC

NPI number 1043336415 Active

Practice location

130 NE Center St
Mount Olive, NC 28365-1701

Fax (919) 658-0549

Mailing address

412 SW Center St
Faison, NC 28341-8820

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1043336415

Goshen Medical Center Incorporated's National Provider Identifier is 1043336415, issued on Mar 21, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mount Olive, NC. The record was last updated on Apr 14, 2023.