GOSHEN MEDICAL CENTER, INC. (NPI# 1265767172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265767172 |
| Entity Type | Organization |
| Organization Name | GOSHEN MEDICAL CENTER, INC. |
| Other Organization Name | GOSHEN MEDICAL CENTER - WOMEN'S HEALTH |
| Practice Address |
212 Duplin St Kenansville NC 28349 |
| Mailing Address |
Po Box 187 Faison NC 28341-0187 |
| Practice Telephone | 9102960790 |
| Practice Fax Number | 9102960879 |
| Mailing Telephone | 9102670421 |
| Mailing Fax Number | 9102670441 |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2010-05-28 |
| Authorized Official Name | REBA W. FUTRELL (EXECUTIVE ASSISTANT CREDENTIALING) |
| Authorized Official Telephone | 9102679997 |
| 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 - Women's Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215366216 | Goshen Medical Center, Inc. | Clinic/Center | 3613 Cape Center Dr, Fayetteville, NC 28304-4457 | 2013-11-11 |
| 1477878874 | Goshen Medical Center, Inc. | Clinic/Center | 908 N Us Highway 421, Clinton, NC 28328-0410 | 2010-03-30 |
| 1679718316 | Goshen Medical Center, Inc. | Clinic/Center | 109 S Sycamore St, Fremont, NC 27830-8710 | 2008-12-10 |
| Street Address |
212 DUPLIN ST |
| City | KENANSVILLE |
| State | NC |
| Zip Code | 28349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255820494 | Ashley Thigpen Kennedy | Occupational Therapist | 514 South Main Street, Kenansville, NC 28349 | 2018-05-03 |
| 1508387531 | Jeffery None Lowery | Speech-Language Pathologist | Vidant Duplin Rehabillitation, 514 S. Main Street, Kenansville, NC 28349 | 2017-06-29 |
| 1013269786 | Primary Health Choice, Inc. | Counselor | 302 North Main Street. Suite 2, Kenansville, NC 28349 | 2012-10-05 |
| 1104191907 | Duplin County Schools | Local Education Agency (LEA) | 315 N. Main St., Kenansville, NC 28349 | 2012-03-13 |
| 1841579844 | Ashley Barnes Ezzell | Pharmacist | 134 Liberty Square, Suite B, Kenansville, NC 28349 | 2011-08-08 |
| 1497986509 | Duplin General Hospital, Incorporated | Licensed Practical Nurse | 401 North Main, Kenansville, NC 28349 | 2009-08-06 |
| 1679762066 | Mid-state Health Systems, Inc | Community/Behavioral Health | 117 Beasley St, 2nd Floor, Kenansville, NC 28349 | 2007-10-22 |
| 1861697310 | Teresa Ann Holland | Nurse Practitioner | 140 Limestone Rd, Kenansville, NC 28349 | 2007-06-15 |
| 1760521470 | Alpha Omega Health | Case Management | 103 East Hill Street, Suite 3, Kenansville, NC 28349 | 2007-02-06 |
| 1588701122 | Essential, Inc | Counselor | 107 West Hill St, Kenansville, NC 28349 | 2007-01-31 |
| Find all providers in zip 28349 | ||||
| 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 |
|---|---|---|---|---|
| 1093203473 | Goshen Medical Center Incorporated | Clinic/Center | 102 N Main St, Suite 2, Kenansville, NC 28349-0001 | 2018-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 | ||||
| City | KENANSVILLE |
| Zip Code | 28349 |
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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.