GOSHEN MEDICAL CENTER FAISON DENTAL SERVICES (NPI# 1902084486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902084486 |
| Entity Type | Organization |
| Organization Name | GOSHEN MEDICAL CENTER FAISON DENTAL SERVICES |
| Practice Address |
460 Sw Center Street Faison NC 28341 |
| Mailing Address |
Po Box 187 Faison NC 28341-0187 |
| Practice Telephone | 9102670951 |
| Mailing Telephone | 9102670421 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2012-05-11 |
| Authorized Official Name | TAMMY M HOWARD (BILLING/IT DIRECTOR) |
| Authorized Official Telephone | 9102670951 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOSHEN MEDICAL CENTER, INC. |
| 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 | 5908911 | 05 |
| Street Address |
460 SW CENTER STREET |
| City | FAISON |
| State | NC |
| Zip Code | 28341 |
| 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 |
| 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 |
| 1598929713 | Kristi Ann Kerr | Obstetrics & Gynecology | 444 Sw Center St, Faison, NC 28341 | 2008-07-16 |
| 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 |
|---|---|---|---|---|
| 1063922292 | Goshen Medical Center Incorporated | Clinic/Center | 460 Sw Center St, Faison, NC 28341-8820 | 2017-10-02 |
| 1700396934 | Goshen Medical Center Incorporated | Clinic/Center | 444 Sw Center St, Faison, NC 28341-8820 | 2017-10-02 |
| 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 | ||||
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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.