GOSHEN MEDICAL CENTER INCORPORATED (NPI# 1255456794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255456794 |
Entity Type | Organization |
Organization Name | GOSHEN MEDICAL CENTER INCORPORATED |
Other Organization Name | GOSHEN MEDICAL CENTER GOLDSBORO |
Practice Address |
2701 Medical Office Pl Goldsboro NC 27534-9458 |
Mailing Address |
Po Box 187 Faison NC 28341-0187 |
Practice Telephone | 9197398680 |
Practice Fax Number | 9197397650 |
Mailing Telephone | 9102670421 |
Mailing Fax Number | 9102670441 |
Enumeration Date | 2007-03-21 |
Last Update Date | 2010-10-26 |
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 | 344532A | 05 |
Other Name | Type Code |
---|---|
Goshen Medical Center Goldsboro | 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 |
2701 MEDICAL OFFICE PL |
City | GOLDSBORO |
State | NC |
Zip Code | 27534-9458 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154365591 | Jeffrey A Margolis | Internal Medicine | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2006-06-16 |
1114540036 | Carolyn Danielle Battle | Nurse Practitioner | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2020-05-27 |
1821559261 | Shannon Rae Hill | Nurse Practitioner | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2019-03-28 |
1679096945 | Marina Turner | Nurse Practitioner | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2017-07-19 |
1184047912 | Michael Albright | Physician Assistant | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2014-01-30 |
1093917841 | Reena Sini Joseph | Family Medicine | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2007-06-04 |
1609974468 | Susan Freeland Paparazo | Nurse Practitioner | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
Find all providers in zip 27534 |
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 |
---|---|---|---|---|
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 |
1083739429 | Goshen Medical Center Incorporated | Clinic/Center | 200 W. Ash St., Ste#202, Goldsboro, NC 27530-3679 | 2007-03-21 |
1336691765 | Goshen Medical Center Incorporated | Clinic/Center | 104 Adair Dr, Goldsboro, NC 27530-4516 | 2016-11-02 |
1477005148 | Goshen Medical Center Incorporated | Clinic/Center | 104 Adair Dr, Goldsboro, NC 27530-4516 | 2016-10-28 |
1962647487 | Choptank Community Health System, Inc. | Clinic/Center | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2008-12-12 |
1053538678 | Choptank Community Health System, Inc. | Clinic/Center | 316 Railroad Ave, Goldsboro, MD 21636-0122 | 2007-04-18 |
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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 |
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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.