GOSHEN MEDICAL CENTER INCORPORATED (NPI# 1700396934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700396934 |
| Entity Type | Organization |
| Organization Name | GOSHEN MEDICAL CENTER INCORPORATED |
| Other Organization Name | GOSHEN MEDICAL CENTER - MOBILE MEDICAL |
| Practice Address |
444 Sw Center St Faison NC 28341-8820 |
| Mailing Address |
Po Box 187 Faison NC 28341-0187 |
| Practice Telephone | 9102670421 |
| Mailing Telephone | 9102672042 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Authorized Official Name | GREGORY M BOUNDS (CEO) |
| Authorized Official Telephone | 9102671237 |
| 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 |
| Other Name | Type Code |
|---|---|
| Goshen Medical Center - Mobile Medical | 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 |
444 SW CENTER ST |
| City | FAISON |
| State | NC |
| Zip Code | 28341-8820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083697213 | Walter R Schmits Jr. | Family Medicine | 444 Sw Center St, Faison, NC 28341-8820 | 2005-11-22 |
| 1609499771 | Karley Elizabeth Bastien | Nurse Practitioner | 444 Sw Center St, Faison, NC 28341-8820 | 2020-05-24 |
| 1063043370 | Goshen Medical Center Incorporated | Pharmacist | 444 Sw Center St, Faison, NC 28341-8820 | 2020-01-27 |
| 1699313452 | Aixa Nieves Kimes | Nurse Practitioner | 444 Sw Center St, Faison, NC 28341-8820 | 2019-12-11 |
| 1679942890 | Tiffany Nicole Charney | Nurse Practitioner | 444 Sw Center St, Faison, NC 28341-8820 | 2015-09-17 |
| 1255678637 | Heather Lynette Maynor | Pharmacist | 444 Sw Center St, Faison, NC 28341-8820 | 2013-01-06 |
| 1982842241 | John Ralph Page | General Practice | 444 Sw Center St, Faison, NC 28341-8820 | 2009-01-25 |
| 1598929713 | Kristi Ann Kerr | Obstetrics & Gynecology | 444 Sw Center St, Faison, NC 28341 | 2008-07-16 |
| 1295946796 | Sharon R Smith | Nurse Practitioner | 444 Sw Center St, Faison, NC 28341-8820 | 2007-05-25 |
| 1154378933 | Goshen Medical Center Incorporated | Clinic/Center | 444 Sw Center St, Faison, NC 28341-8820 | 2006-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508138595 | Crescent Foods | Durable Medical Equipment & Medical Supplies | 206 Sw Center St., Faison, NC 28341 | 2012-02-06 |
| 1457649964 | Wendy Ann Alvanos | Pharmacist | 206 South West Center Street, Faison, NC 28341 | 2011-07-18 |
| 1902084486 | Goshen Medical Center Faison Dental Services | Clinic/Center | 460 Sw Center Street, Faison, NC 28341 | 2008-02-06 |
| 1972653269 | Jonathan C Blackmore | Family Medicine | 412 South East Center St, Faison, NC 28341 | 2007-01-11 |
| 1073684015 | Randall Richards | Internal Medicine | 444 Sw Center St., Faison, NC 28341 | 2006-11-13 |
| 1366521577 | Crescent Foods Inc | Durable Medical Equipment & Medical Supplies | 206 Sw Center St, Faison, NC 28341 | 2006-11-06 |
| 1982726048 | Jenny Anna Turek | Dentist | 460 Sw Center St, Faison, NC 28341 | 2007-04-06 |
| 1487776043 | Mary C Bass | Social Worker | 444 Sw Center St., Faison, NC 28341 | 2007-04-04 |
| 1144364209 | Lauren Eades | Physician Assistant | 444 Sw Center St., Faison, NC 28341 | 2007-02-20 |
| 1003889288 | Mian Bashir Daud | Family Medicine | 444 Sw Center Street, Faison, NC 28341-0187 | 2006-02-09 |
| Find all providers in zip 28341 | ||||
| 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 |
|---|---|---|---|---|
| 1902084486 | Goshen Medical Center Faison Dental Services | Clinic/Center | 460 Sw Center Street, Faison, NC 28341 | 2008-02-06 |
| 1063922292 | Goshen Medical Center Incorporated | Clinic/Center | 460 Sw Center St, Faison, NC 28341-8820 | 2017-10-02 |
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|---|---|---|---|---|
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| 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.