NPI | 1093203473 |
---|---|
Doing Business As | GOSHEN MEDICAL CENTER - KENANSVILLE |
Entity Type | Organization |
Authorized Contact | GREGORY M BOUNDS CEO 910-267-1237 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2018-05-01 |
Last Update Date | 2021-09-27 |