| Organization Name: | GOSHEN MEDICAL CENTER INCORPORATED |
| NPI Number: | 1700901287 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBA W. FUTRELL (EXECUTIVE ASSISTANT CREDENTIALING) |
| Mailing Address: | 325 Nc Highway 55 W Mount Olive |
| State: | NC US |
| Postal Code: | 283658527 |
| Phone Number: | 9196585900 |
| Fax Number: | 9196580101 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 08/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |