NPI | 1285291211 |
---|---|
Doing Business As | GOSHEN MEDICAL CENTER - RAEFORD |
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) |
Enumeration Date | 2019-05-24 |
Last Update Date | 2021-10-06 |