GOSHEN MEDICAL CENTER INCORPORATED (NPI# 1073638557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073638557 |
| Entity Type | Organization |
| Organization Name | GOSHEN MEDICAL CENTER INCORPORATED |
| Other Organization Name | GOSHEN MEDICAL CENTER CLINTON |
| Practice Address |
906 Us Highway 421 Clinton NC 28328-0410 |
| Mailing Address |
412 Sw Center Street Faison NC 28341-0187 |
| Practice Telephone | 9105921462 |
| Practice Fax Number | 9105928401 |
| Mailing Telephone | 9102671942 |
| Mailing Fax Number | 9102671237 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-08-12 |
| Authorized Official Name | MRS. REBA W. FUTRELL (EXECUTIVE ASSISTANT/CREDENTIALING) |
| Authorized Official Telephone | 9102671942 |
| 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 | 344596A | 05 |
| Other Name | Type Code |
|---|---|
| Goshen Medical Center Clinton | Doing Business As Name - 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 |
906 US HIGHWAY 421 |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-0410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| 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 |
|---|---|---|---|---|
| 1598152019 | Community Health Care Inc | Clinic/Center | 925 South 4th Street, Clinton, IA 52732-5726 | 2015-04-22 |
| 1518238690 | Carolina Health Centers, Inc. | Clinic/Center | 700 Plaza Cir Ste B, Clinton, SC 29325-7556 | 2012-01-20 |
| 1821245127 | Primary Care Providers for A Healthy Feliciana, Inc. | Clinic/Center | 10701 Reiley Street, Clinton, LA 70722-3210 | 2008-08-19 |
| 1992951297 | Primary Care Providers for A Healthy Feliciana, Inc. | Clinic/Center | 10410 Plank Road, Clinton, LA 70722 | 2008-08-18 |
| 1871692483 | Primary Care Providers for A Healthy Feliciana, Inc | Clinic/Center | 10410 Plank Rd, Clinton, LA 70722-3710 | 2006-09-21 |
| 1699878645 | Primary Care Providers for A Healthy Feliciana Inc | Clinic/Center | 11990 Jackson Street, Clinton, LA 70722-3210 | 2006-09-06 |
| 1023424686 | Goshen Medical Center Incorporated | Clinic/Center | 408 Fairview St, Clinton, NC 28328-2312 | 2014-07-03 |
| 1245669266 | Compass Health, Inc. | Clinic/Center | 1800 Community, Clinton, MO 64735-8804 | 2013-11-12 |
| 1477878874 | Goshen Medical Center, Inc. | Clinic/Center | 908 N Us Highway 421, Clinton, NC 28328-0410 | 2010-03-30 |
| 1649457094 | Community Health Center Inc | Clinic/Center | 114 E Main St, Clinton, CT 06413-2112 | 2008-01-29 |
| Find all providers in CLINTON | ||||
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| 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.