| Goshen Medical Center - Kenansville | |
|
102 N Main St Suite 2 Kenansville NC 28349-0001 | |
| (910) 275-0195 | |
| (910) 275-0192 |
| Full Name | Goshen Medical Center - Kenansville |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 N Main St, Kenansville, 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 - Kenansville Po Box 187 Faison NC 28341-0187 Ph: (910) 267-2042 | Goshen Medical Center - Kenansville 102 N Main St Suite 2 Kenansville NC 28349-0001 Ph: (910) 275-0195 |
| NPI Number | 1093203473 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 09/27/2021 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20180626002057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093203473 | 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 |
Appleaday Chronic Care Management, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Dobson Chapel Rd, Kenansville, NC 28349 Phone: 910-752-3039 | |
Goshen Medical Center - Women's Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 Duplin St, Kenansville, NC 28349 Phone: 910-296-0790 Fax: 910-296-0879 | |
Carolina Coast Primary Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 N Nc 24 & 50 Hwy, Kenansville, NC 28349 Phone: 910-296-1087 Fax: 910-296-1086 | |
Med First Immediate Care & Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Nc 24 50 Hwy, Kenansville, NC 28349 Phone: 910-296-1087 Fax: 910-296-1086 | |
Goshen Medical Center - Duplin Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 Duplin St, Kenansville, NC 28349 Phone: 910-296-1811 Fax: 910-296-0862 |