Goshen Medical Center Wallace

LBN: Goshen Medical Center Incorporated
Goshen Medical Center Wallace is an health care organization with primary practice located at 110 Eastwood Drive , Wallace NC 28466-9236. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Goshen Medical Center Incorporated can be contacted via phone (910) 285-2330, or through Futrell, Reba W. via phone (910) 267-8252.

Contact Information

Primary practice address
110 Eastwood Drive Wallace NC 28466-9236
Phone: (910) 285-2330
Fax: (910) 285-3060
Website:
Map and Directions
Authorized official contact:
Name: Futrell, Reba W.
Phone: (910) 267-8252

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1912022369
LBN Legal business name Goshen Medical Center Incorporated
DBA Doing business as Goshen Medical Center Wallace
Authorized official Futrell, Reba W.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Feb 6th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912022369 NPPES
North Carolina MEDICAID 344011A

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