GOSHEN MEDICAL CENTER - FAIRVIEW
NPI 1023424686
Clinic/Center - Federally Qualified Health Center (FQHC) in Clinton, NC

Active since July 03, 2014CLIA 34D0929678 · Waiver
408 FAIRVIEW ST, CLINTON, NC 28328(910) 596-2400(910) 267-8933 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2024, Sep 20, 2022 (2 updates tracked since 2022).

About Goshen Medical Center - Fairview NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOSHEN MEDICAL CENTER - FAIRVIEW (NPI 1023424686) is a healthcare organization registered as a federally qualified health center (fqhc) in Clinton, North Carolina and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists Rebecca M Brown, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1023424686
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER, INC
Location Address408 FAIRVIEW STClinton, NC 28328-2312
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-0421 · Fax (910) 267-8683
Fax(910) 267-8933
Organization SubpartYes
Authorized OfficialRebecca M BrownCredentialing · (910) 267-8252
Enumeration DateJuly 3, 2014
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
NPI 1023424686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
408 FAIRVIEW ST, Clinton, NC 28328

Other Names 1

Doing Business AsGoshen Medical Center - Fairview

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0929678

Goshen Medical Center - Fairview · Clinton, NC
Active · expires Oct 16, 2026
CLIA Number34D0929678
Laboratory TypePractitioner Other
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorRussell Matthews
Laboratory Phone(910) 596-2400
Laboratory LocationGoshen Medical Center - Fairview408 Fairview Street, Clinton, NC 28328
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
408 FAIRVIEW ST
CLINTON, NC 28328
Nurse Practitioner (Family)
408 FAIRVIEW ST
CLINTON, NC 28328
Physician Assistant (Medical)
408 FAIRVIEW ST
CLINTON, NC 28328
Internal Medicine
408 FAIRVIEW ST
CLINTON, NC 28328
Nurse Practitioner (Family)
408 FAIRVIEW ST
CLINTON, NC 28328
Nurse Practitioner
408 FAIRVIEW ST
CLINTON, NC 28328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goshen Medical Center, Inc's NPI number?

The NPI number for Goshen Medical Center, Inc is 1023424686. It was assigned to this organization in the NPPES registry on July 3, 2014. The provider is doing business as Goshen Medical Center - Fairview.

Where is Goshen Medical Center, Inc located?

Goshen Medical Center, Inc is located at 408 Fairview St, Clinton, NC 28328. The listed phone number is (910) 596-2400.

What is Goshen Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Goshen Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0929678) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Goshen Medical Center, Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Goshen Medical Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Goshen Medical Center, Inc was last updated on December 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.