| Goshen Medical Center - Wallace Elementary | |
|
2469 Wendell Blvd Wendell NC 27591-6903 | |
| (910) 267-1942 | |
| Not Available |
| Full Name | Goshen Medical Center - Wallace Elementary |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2469 Wendell Blvd, Wendell, North Carolina |
| Authorized Official Name and Position | Gregory Bounds (CEO) |
| Authorized Official Contact | 9102671942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center - Wallace Elementary Po Box 187 Faison NC 28341-0187 Ph: (910) 267-2042 | Goshen Medical Center - Wallace Elementary 2469 Wendell Blvd Wendell NC 27591-6903 Ph: (910) 267-1942 |
| NPI Number | 1497296370 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 09/08/2026 |
| Certification Date | 09/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497296370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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