| Goshen Medical Center - Mount Olive Mobile Unit | |
|
325 Nc Highway 55 W Mount Olive NC 28365-8527 | |
| (919) 658-5900 | |
| (919) 658-0101 |
| Full Name | Goshen Medical Center - Mount Olive Mobile Unit |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 Nc Highway 55 W, Mount Olive, 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 - Mount Olive Mobile Unit 412 Sw Center St Faison NC 28341-8820 Ph: (910) 267-0421 | Goshen Medical Center - Mount Olive Mobile Unit 325 Nc Highway 55 W Mount Olive NC 28365-8527 Ph: (919) 658-5900 |
| NPI Number | 1700901287 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20100804001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700901287 | NPI | - | NPPES |
| 344579A | Medicaid | NC | |
| 0168B | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Goshen Medical Center Lamberts Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Ne Center St, Mount Olive, NC 28365 Phone: 919-658-2505 Fax: 919-658-0549 | |
Talton Physician Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Crest Dr, Mount Olive, NC 28365 Phone: 919-222-5908 | |
Mt Olive Family Medicine Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 N Breazeale Ave, Mount Olive, NC 28365 Phone: 919-658-4954 Fax: 919-658-5754 | |
Visavis Health Care Medical Group Of Nc Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 228 Smith Chapel Rd, Mount Olive, NC 28365 Phone: 929-491-7333 |