| Goshen Medical Center - Chadbourn | |
|
110 N Brown St Chadbourn NC 28431-1716 | |
| (910) 654-1701 | |
| (910) 267-8934 |
| Full Name | Goshen Medical Center - Chadbourn |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 N Brown St, Chadbourn, North Carolina |
| Authorized Official Name and Position | Rebecca M Brown (CREDENTIALING) |
| Authorized Official Contact | 9102678252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center - Chadbourn Po Box 187 Faison NC 28341-0187 Ph: (910) 267-0421 | Goshen Medical Center - Chadbourn 110 N Brown St Chadbourn NC 28431-1716 Ph: (910) 654-1701 |
| NPI Number | 1598143836 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 05/07/2015 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20150710001895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598143836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Carolina Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E 7th Ave, Chadbourn, NC 28431 Phone: 910-654-6447 Fax: 910-654-1207 | |
West Columbus Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Brown St, Chadbourn, NC 28431 Phone: 910-654-1701 Fax: 910-654-5701 | |
Chadbourn Family Practice Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 E 7th Ave, Chadbourn, NC 28431 Phone: 910-654-3143 Fax: 910-654-4144 |