| Goshen Medical Center - Hampstead Mobile Unit | |
|
261 Sloop Point Loop Rd Hampstead NC 28443-2618 | |
| (910) 285-2330 | |
| (910) 320-8429 |
| Full Name | Goshen Medical Center - Hampstead Mobile Unit |
|---|---|
| Speciality | Clinic/Center |
| Location | 261 Sloop Point Loop Rd, Hampstead, 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 - Hampstead Mobile Unit Po Box 187 Faison NC 28341-0187 Ph: (910) 267-2042 | Goshen Medical Center - Hampstead Mobile Unit 261 Sloop Point Loop Rd Hampstead NC 28443-2618 Ph: (910) 285-2330 |
| NPI Number | 1154031631 |
|---|---|
| Provider Enumeration Date | 11/25/2022 |
| Last Update Date | 07/27/2023 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20230816004341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154031631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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