NPI | 1538407036 |
---|---|
Doing Business As | GOSHEN MEDICAL CENTER-WHITEVILLE MOBILE UNIT |
Entity Type | Organization |
Authorized Contact | GREG M. BOUNDS CEO 910-289-1416 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2013-01-18 |
Last Update Date | 2021-09-09 |