NPI | 1083739429 |
---|---|
Other Name | GOSHEN MEDICAL CENTER EASTPOINTE |
Entity Type | Organization |
Authorized Contact | REBA W. FUTRELL Executive Assistant Credentialing 910-267-9997 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2010-08-03 |