GOSHEN MEDICAL CENTER, INC. – NPI #1265767172
Clinic/Center

GOSHEN MEDICAL CENTER, INC. is an AHC clinic located in KENANSVILLE, NC. NPPES has assigned the NPI number 1265767172 to GOSHEN MEDICAL CENTER, INC. on October 09, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. GOSHEN MEDICAL CENTER, INC. is also known by the name GOSHEN MEDICAL CENTER - WOMEN'S HEALTH. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 16 years ago on May 28, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOSHEN MEDICAL CENTER, INC. below.

NPI Profile for
GOSHEN MEDICAL CENTER, INC.

NPI Number
1265767172
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOSHEN MEDICAL CENTER, INC.
Other Name: GOSHEN MEDICAL CENTER - WOMEN'S HEALTH
Primary location
212 DUPLIN ST
KENANSVILLE, NC 28349
Phone: (910) 296-0790 Fax: (910) 296-0879
Mailing address
PO BOX 187
FAISON, NC 28341-0187
Phone: (910) 267-0421 Fax: (910) 267-0441
Organization Subpart
No
Authorized Official
REBA FUTRELL
EXECUTIVE ASSISTANT CREDENTIALING
Phone: (910) 267-9997
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.