Organization · Type 2 NPI

Goshen Medical Center Incorporated

Federally Qualified Health Center (FQHC) · Jacksonville, NC

NPI number 1669797700 Active

Practice location

1200 Hargett St
Jacksonville, NC 28540-5933

Fax (910) 219-1087

Mailing address

444 SW Center St
Faison, NC 28341-8820

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Primary Care Clinic/Center 261QP2300XNone listed

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About NPI 1669797700

Goshen Medical Center Incorporated's National Provider Identifier is 1669797700, issued on Apr 1, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jacksonville, NC. The record was last updated on Jan 23, 2012.