| NPI | 1629584156 |
|---|---|
| Doing Business As | GOSHEN MEDICAL CENTER - WHITEVILLE DENTAL SERVICES |
| 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 | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2021-09-09 |