| Goshen Medical Center - Mobile Dental | |
|
460 Sw Center St Faison NC 28341-8820 | |
| (910) 267-0951 | |
| Not Available |
| Full Name | Goshen Medical Center - Mobile Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 460 Sw Center St, Faison, North Carolina |
| Authorized Official Name and Position | Gregory M Bounds (CEO) |
| Authorized Official Contact | 9102671237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center - Mobile Dental Po Box 187 Faison NC 28341-0187 Ph: () - | Goshen Medical Center - Mobile Dental 460 Sw Center St Faison NC 28341-8820 Ph: (910) 267-0951 |
| NPI Number | 1063922292 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 10/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063922292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Goshen Medical Center Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 444 Sw Center St, Faison, NC 28341 Phone: 910-267-0421 Fax: 910-267-0441 | |
Goshen Medical Center - Mobile Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 Sw Center St, Faison, NC 28341 Phone: 910-267-0421 | |
Goshen Medical Center Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Sw Center Street, Faison, NC 28341 Phone: 910-267-0951 |