| Goshen Medical Center Incorporated | |
|
360 E Charity Rd Rose Hill NC 28458-8303 | |
| (910) 289-3086 | |
| (910) 289-2413 |
| Full Name | Goshen Medical Center Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 360 E Charity Rd, Rose Hill, North Carolina |
| Authorized Official Name and Position | Reba W. Futrell (EXECUTIVE ASSISTANT CREDENTIALING) |
| Authorized Official Contact | 9102679997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center Incorporated 412 Sw Center St Faison NC 28341-8820 Ph: (910) 267-0421 | Goshen Medical Center Incorporated 360 E Charity Rd Rose Hill NC 28458-8303 Ph: (910) 289-3086 |
| NPI Number | 1801911383 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/19/2010 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20101005000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801911383 | NPI | - | NPPES |
| 0122C | Other | NC | BCBS |
| 344557A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |