Organization · Type 2 NPI

Goshen Medical Center Incorporated

Federally Qualified Health Center (FQHC) · Beulaville, NC

NPI number 1639294309 Active

Practice location

119 Crossover Rd
Beulaville, NC 28518-8801

Call (910) 298-3125 Map

Fax (910) 267-8980

Mailing address

PO Box 187
Faison, NC 28341-0187

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

7 other providers at this address

Goshen Medical Center IncorporatedCommunity/Retail Pharmacy Beulaville, NC NPI 1558008664
Alexandra Powell Winn, CPNP-PCPediatric Nurse Practitioner Beulaville, NC NPI 1548066533
Caitlin Casey, FNP-CFamily Nurse Practitioner Beulaville, NC NPI 1861069486
Carl D. Pate, MDFamily Medicine Physician Beulaville, NC NPI 1346323375
Jordan Kate Bullard, NPPediatric Nurse Practitioner Beulaville, NC NPI 1245862424
Marshall K. Quinn, MDFamily Medicine Physician Beulaville, NC NPI 1154404176
Tina B. Kennedy, FNPFamily Nurse Practitioner Beulaville, NC NPI 1922125087

NPI record

NPI: 1639294309
Entity type: Organization (Type 2)
Issued: Mar 20, 2007
Last updated: Mar 2, 2015
Status: Active
Subpart: Yes of Goshen Medical Center Incorporated

Other names

<unavail>
Goshen Medical Center Beulaville · doing business as

Authorized official

Mrs. Rebecca M. Brown
Credentialing
(910) 267-8252

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639294309

Goshen Medical Center Incorporated's National Provider Identifier is 1639294309, issued on Mar 20, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Beulaville, NC. The record was last updated on Mar 2, 2015.