GOSHEN MEDICAL CENTER - APEX – NPI #1558931766
Clinic/Center

GOSHEN MEDICAL CENTER - APEX is an AHC clinic located in APEX, NC. NPPES has assigned the NPI number 1558931766 to GOSHEN MEDICAL CENTER - APEX on June 29, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GOSHEN MEDICAL CENTER - APEX” is a dba name, the actual legal business name for this organization is GOSHEN MEDICAL CENTER INCORPORATED. 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 5 years ago on Oct 06, 2021. 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 - APEX below.

NPI Profile for
GOSHEN MEDICAL CENTER INCORPORATED

NPI Number
1558931766
Enumeration Date

(about 5 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 INCORPORATED
Doing Business As (dba): GOSHEN MEDICAL CENTER - APEX
Primary location
1624 WHITE OAK CHURCH RD
APEX, NC 27523-6071
Phone: (941) 267-2042 Fax: (919) 364-8254
Mailing address
PO BOX 187
FAISON, NC 28341-0187
Phone: (910) 267-0421 Fax:
Organization Subpart
No
Authorized Official
GREGORY BOUNDS
CEO
Phone: (910) 267-1237
Updated
Certification Date
Oct 06, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.