GOSHEN MEDICAL CENTER INCORPORATED (NPI# 1912170002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912170002 |
| Entity Type | Organization |
| Organization Name | GOSHEN MEDICAL CENTER INCORPORATED |
| Other Organization Name | GOSHEN MEDICAL CENTER GARLAND |
| Practice Address |
105 South Lisbon Avenue Garland NC 28441-0398 |
| Mailing Address |
Po Box 187 Faison NC 28341-0187 |
| Practice Telephone | 9105291827 |
| Practice Fax Number | 9105291873 |
| Mailing Telephone | 9102670421 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2010-09-07 |
| 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 |
| Other Name | Type Code |
|---|---|
| Goshen Medical Center Garland | 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 |
| 1083739429 | Goshen Medical Center Incorporated | Clinic/Center | 200 W. Ash St., Ste#202, Goldsboro, NC 27530-3679 | 2007-03-21 |
| 1043336415 | Goshen Medical Center Incorporated | Clinic/Center | 130 Ne Center St, Mount Olive, NC 28365-1701 | 2007-03-21 |
| Street Address |
105 SOUTH LISBON AVENUE |
| City | GARLAND |
| State | NC |
| Zip Code | 28441-0398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396963773 | Continuum Care Corporation | Assisted Living Facility | 500 W. 3rd St., Garland, NC 28441 | 2007-04-23 |
| 1447379110 | Bf&p of Sampson PC | Family Medicine | 105 S. Lisbon Ave, Garland, NC 28441 | 2007-03-27 |
| 1891990198 | Duplin Sampson Group Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 168 N Herring Ave, Garland, NC 28441-9225 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396552 | Nwakaego C Ude | Registered Nurse | 1958 Garrison Way, Garland, TX 75040-1210 | 2020-11-07 |
| 1447850755 | Karen Bowcutt | Registered Nurse | 245 W 860 S, Garland, UT 84312-9431 | 2020-10-27 |
| 1205435856 | Jessica Moreno | Specialist/Technologist | 3718 Duck Creek Dr, Garland, TX 75043-2962 | 2020-10-23 |
| 1427657642 | Recovery Ranger Corps | Voluntary or Charitable | 3426 Shoreside Dr, Garland, TX 75043-1964 | 2020-10-19 |
| 1659970911 | Royal Crown Personal Care Inc | Home Health | 329 Oaks Trl Ste 139, Garland, TX 75043-4082 | 2020-10-19 |
| 1912505389 | Robert Stevens Lumpford | In Home Supportive Care | 2813 Seminary Cir, Garland, TX 75043-1210 | 2020-10-16 |
| 1639776354 | Amber Renee Hearnsberger | Registered Nurse | 2217 Newcastle Dr, Garland, TX 75041-1314 | 2020-10-06 |
| 1134726235 | Matilda Chinyelu Nwigwe | Registered Nurse | 3914 Goose Creek Pkwy, Garland, TX 75040-1070 | 2020-10-02 |
| 1407463326 | Gateway Eye Center LLC | Optometrist | 5502 Broadway Blvd, Garland, TX 75043-3639 | 2020-09-24 |
| 1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
| Find all providers in GARLAND | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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.