NPI | 1528721891 |
---|---|
Doing Business As | GOSHEN MEDICAL CENTER - MOUNT OLIVE MOBILE UNIT |
Entity Type | Organization |
Authorized Contact | GREGORY M BOUNDS CEO 910-267-1237 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-10-14 |
Last Update Date | 2021-11-02 |