Goshen Medical Center - Mount Olive Mobile Unit
LBN: Goshen Medical Center Incorporated
Goshen Medical Center - Mount Olive Mobile Unit is an health care organization with primary practice located at 325 Nc Highway 55 W , Mount Olive NC 28365-8527. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Goshen Medical Center Incorporated can be contacted via phone (919) 658-5900, or through Bounds, Gregory M via phone (910) 267-1237.
Contact Information
Primary practice address
325 Nc Highway 55 W
Mount Olive NC 28365-8527
Phone: (919) 658-5900
Fax: (919) 658-0101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1700901287 |
|---|---|
| LBN Legal business name | Goshen Medical Center Incorporated |
| DBA Doing business as | Goshen Medical Center - Mount Olive Mobile Unit |
| Authorized official | Bounds, Gregory M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Nov 2nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700901287 | NPPES |
| North Carolina | MEDICAID | 344579A | |
| North Carolina | Other | 0168B |
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