GOSHEN MEDICAL CENTER, INCORPORATED (NPI# 1629584156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629584156 |
| Entity Type | Organization |
| Organization Name | GOSHEN MEDICAL CENTER, INCORPORATED |
| Other Organization Name | GOSHEN MEDICAL CENTER - WHITEVILLE DENTAL SERVICES |
| Practice Address |
5 Whiteville Town Ctr Whiteville NC 28472-4929 |
| Mailing Address |
Po Box 187 Faison NC 28341-0187 |
| Practice Telephone | 9102126613 |
| Practice Fax Number | 9102678986 |
| Mailing Telephone | 9102126613 |
| Mailing Fax Number | 9102678986 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | GREGORY M BOUNDS (CEO) |
| Authorized Official Telephone | 9102671237 |
| 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 - Whiteville Dental Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578061131 | Goshen Medical Center, Incorporated | Clinic/Center | 11179c Highway 55, Grantsboro, NC 28529 | 2018-01-30 |
| 1487162434 | Goshen Medical Center, Incorporated | Clinic/Center | 4370a Arendell St, Morehead, NC 28557 | 2018-01-11 |
| 1508364092 | Goshen Medical Center, Incorporated | Clinic/Center | 1813 S Glenburnie Rd, New Bern, NC 28562-5210 | 2018-01-30 |
| 1861900854 | Goshen Medical Center, Incorporated | Clinic/Center | 800 Jefferson St Ste 116, Whiteville, NC 28472-3702 | 2018-01-12 |
| 1275049702 | Goshen Medical Center, Incorporated | Clinic/Center | 270 N Us 701 Bypass, Tabor City, NC 28463-2705 | 2017-12-20 |
| 1114479326 | Goshen Medical Center, Incorporated | Clinic/Center | 630 S Madison St, Whiteville, NC 28472-4130 | 2016-11-04 |
| 1003227893 | Goshen Medical Center, Incorporated | Clinic/Center | 4114 Dr M L King Jr Blvd, New Bern, NC 28562-2233 | 2014-05-14 |
| Street Address |
5 WHITEVILLE TOWN CTR |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-4929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174159529 | Krista Welch Inman | Nurse Practitioner | 5 Whiteville Town Ctr, Whiteville, NC 28472-4401 | 2020-03-17 |
| 1669941852 | Domenik Randon | Dentist | 5 Whiteville Town Ctr, Whiteville, NC 28472-4401 | 2018-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| 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 |
|---|---|---|---|---|
| 1538407036 | Goshen Medical Center Incorporated | Clinic/Center | 5 Whiteville Towne Ctr, Whiteville, NC 28472-4929 | 2013-01-18 |
| 1861900854 | Goshen Medical Center, Incorporated | Clinic/Center | 800 Jefferson St Ste 116, Whiteville, NC 28472-3702 | 2018-01-12 |
| 1114479326 | Goshen Medical Center, Incorporated | Clinic/Center | 630 S Madison St, Whiteville, NC 28472-4130 | 2016-11-04 |
| 1932365095 | Tri County Community Health Council Inc | Clinic/Center | 209 W Virgil St, Whiteville, NC 28472-4017 | 2008-07-29 |
| 1659351146 | Robeson Health Care Corporation | Clinic/Center | 15 Hill Plz, Suite A, Whiteville, NC 28472 | 2006-01-19 |
| 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 | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
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.