| Goshen Medical Center, Incorporated | |
|
911 Hay St Fayetteville NC 28305-5313 | |
| (910) 486-6818 | |
| (910) 302-5464 |
| Full Name | Goshen Medical Center, Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 Hay St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Gregory M Bounds (CEO) |
| Authorized Official Contact | 9102671237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center, Incorporated Po Box 187 Faison NC 28341-0187 Ph: (910) 267-2042 | Goshen Medical Center, Incorporated 911 Hay St Fayetteville NC 28305-5313 Ph: (910) 486-6818 |
| NPI Number | 1902474547 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 08/11/2025 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20210707001243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902474547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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