GOSHEN MEDICAL CENTER INCORPORATED (NPI# 1043336415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043336415 |
| Entity Type | Organization |
| Organization Name | GOSHEN MEDICAL CENTER INCORPORATED |
| Other Organization Name | GOSHEN MEDICAL CENTER LAMBERTS |
| Practice Address |
130 Ne Center St Mount Olive NC 28365-1701 |
| Mailing Address |
412 Sw Center St Faison NC 28341-8820 |
| Practice Telephone | 9196582505 |
| Practice Fax Number | 9196580549 |
| Mailing Telephone | 9102670421 |
| Mailing Fax Number | 9102670441 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-09-10 |
| Authorized Official Name | REBA W. FUTRELL (EXECUTIVE ASSISTANT/CREDENTIALING) |
| Authorized Official Telephone | 9102679997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 344518A | 05 |
| Other Name | Type Code |
|---|---|
| Goshen Medical Center Lamberts | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376084251 | Goshen Medical Center Incorporated | Clinic/Center | 138 Lyman Rd, Beulaville, NC 28518-7614 | 2017-03-13 |
| 1184165078 | Goshen Medical Center Incorporated | Clinic/Center | 158 Lanefield Rd, Warsaw, NC 28398-8717 | 2017-03-13 |
| 1497296370 | Goshen Medical Center Incorporated | Clinic/Center | 4266 S Nc Highway 11, Wallace, NC 28466-6114 | 2017-03-13 |
| 1295113371 | Goshen Medical Center Incorporated | Clinic/Center | 270 N Us 701 Bypass, Tabor City, NC 28463-2705 | 2015-05-11 |
| 1326443870 | Goshen Medical Center Incorporated | Clinic/Center | 104 Adair Dr Ste C, Goldsboro, NC 27530-4516 | 2014-10-27 |
| 1194128991 | Goshen Medical Center Incorporated | Clinic/Center | 104 Adair Dr # A, Goldsboro, NC 27530-4516 | 2014-10-07 |
| 1538407036 | Goshen Medical Center Incorporated | Clinic/Center | 5 Whiteville Towne Ctr, Whiteville, NC 28472-4929 | 2013-01-18 |
| 1669797700 | Goshen Medical Center Incorporated | Clinic/Center | 1200 Hargett St, Jacksonville, NC 28540-5933 | 2010-04-01 |
| 1912170002 | Goshen Medical Center Incorporated | Clinic/Center | 105 South Lisbon Avenue, Garland, NC 28441-0398 | 2008-04-09 |
| 1083739429 | Goshen Medical Center Incorporated | Clinic/Center | 200 W. Ash St., Ste#202, Goldsboro, NC 27530-3679 | 2007-03-21 |
| Street Address |
130 NE CENTER ST |
| City | MOUNT OLIVE |
| State | NC |
| Zip Code | 28365-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275684052 | James R Lambert | Family Medicine | 130 Ne Center St, Mount Olive, NC 28365-1701 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782709 | Courtney Bullard Conn | Dentist | 315 Hwy 55, Mount Olive, NC 28365 | 2020-08-28 |
| 1740836485 | Brittany Leigh Spence | Nurse Practitioner | 325 Nc-55 West, Mt Olive, NC 28365 | 2019-08-16 |
| 1265859847 | Lisa B Ezzell-weeks | Pharmacist | 308 Nc 55 West, Mount Olive, NC 28365 | 2014-03-21 |
| 1962844720 | Terry Louise Price | Counselor | 110 Sw Center Street, Mount Olive, NC 28365 | 2013-07-22 |
| 1396089173 | Karen Lane | Physical Therapy Assistant | 2221 Nc 55 Eas5t, Mount Olive, NC 28365 | 2012-11-19 |
| 1760726475 | Sundance | Skilled Nursing Facility | 228 Smith Chapel Road, Mount Olive, NC 28365 | 2012-11-19 |
| 1356633531 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1103 N Breazeale Ave, Mount Olive, NC 28365 | 2011-05-06 |
| 1780995175 | Darren Edward Stevens | Pharmacist | 308 Nc 55w, Mount Olive, NC 28365 | 2010-06-30 |
| 1760719348 | Hana Kim | Physician Assistant | 325 Nc Highway 55 West, Mount Olive, NC 28365 | 2009-11-03 |
| 1376684696 | Michelle E Honeycutt | Speech-Language Pathologist | 429 Hwy E, Mt Olive, NC 28365 | 2007-02-09 |
| Find all providers in zip 28365 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457800146 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 301 South 4th Street, Mount Olive, MS 39119-0000 | 2016-09-23 |
| 1700901287 | Goshen Medical Center Incorporated | Clinic/Center | 325 Nc Highway 55 W, Mount Olive, NC 28365-8527 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799667 | Bakersville Community Medical Clinic, Inc | Clinic/Center | 71 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2020-10-30 |
| 1245842178 | Gaston Family Health Services, Inc. | Clinic/Center | 144 William Ellis Dr, Advance, NC 27006-7990 | 2020-08-21 |
| 1851909444 | Gaston Family Health Services, Inc. | Clinic/Center | 302 28th Ave Ne, Hickory, NC 28601-1116 | 2020-07-20 |
| 1750999496 | Gaston Family Health Services, Inc. | Clinic/Center | 180 War Eagle Dr, Mocksville, NC 27028-6151 | 2020-07-20 |
| 1518575265 | Gaston Family Health Services, Inc. | Clinic/Center | 4675 Oxford School Rd, Claremont, NC 28610-9468 | 2020-07-20 |
| 1124636873 | Gaston Family Health Services, Inc. | Clinic/Center | 451 Catawba Valley Blvd, Hickory, NC 28602-9631 | 2020-07-20 |
| 1093323099 | Gaston Family Health Services, Inc. | Clinic/Center | 5040 E Bandys Xrd, Catawba, NC 28609-8075 | 2020-07-16 |
| 1366088957 | Gaston Family Health Services, Inc. | Clinic/Center | 497 Farmington Rd, Mocksville, NC 27028-7639 | 2019-11-19 |
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1306481957 | Gaston Family Health Services, Inc. | Clinic/Center | 3407 Plateau Rd, Newton, NC 28658-8809 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT OLIVE |
| Zip Code | 28365 |
Please comment or provide details below to improve the information on GOSHEN MEDICAL CENTER INCORPORATED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.