GOSHEN MEDICAL CENTER - CLINTON MOBILE UNIT
NPI 1073638557
Clinic/Center - Federally Qualified Health Center (FQHC) in Clinton, NC

Active since March 21, 2007CLIA 34D0245090 · Microscopy
906 US HIGHWAY 421, CLINTON, NC 28328(910) 592-1462(919) 364-8367 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2021, Sep 20, 2021 (2 updates tracked since 2021).

About Goshen Medical Center - Clinton Mobile Unit NPPES

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

GOSHEN MEDICAL CENTER - CLINTON MOBILE UNIT (NPI 1073638557) is a healthcare organization registered as a federally qualified health center (fqhc) in Clinton, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Gregory M Bounds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073638557
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER INCORPORATED
Location Address906 US HIGHWAY 421Clinton, NC 28328-0410
Mailing Address412 Sw Center StreetFaison, NC 28341-0187 · (910) 267-1942 · Fax (910) 267-1237
Fax(919) 364-8367
Organization SubpartNo
Authorized OfficialGregory M BoundsCeo · (910) 267-1237
Enumeration DateMarch 21, 2007
Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
NPI 1073638557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
906 US HIGHWAY 421, Clinton, NC 28328

Other Names 2

Doing Business AsGoshen Medical Center - Clinton Mobile Unit
Doing Business AsGoshen Medical Center Clinton

Other Identifiers 1

Medicaid344596ANC

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0245090

Goshen Medical Center - Clinton Medical · Clinton, NC
Active · expires Aug 31, 2026
CLIA Number34D0245090
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKaitlyn Tyndall
Laboratory Phone(910) 592-1462
Laboratory LocationGoshen Medical Center - Clinton Medical906 N Us 421 Hwy, Clinton, NC 28328
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Incorporated's NPI number?

The NPI number for Goshen Medical Center Incorporated is 1073638557. It was assigned to this organization in the NPPES registry on March 21, 2007. The provider is doing business as Goshen Medical Center - Clinton Mobile Unit and Goshen Medical Center Clinton.

Where is Goshen Medical Center Incorporated located?

Goshen Medical Center Incorporated is located at 906 Us Highway 421, Clinton, NC 28328. The listed phone number is (910) 592-1462.

What is Goshen Medical Center Incorporated'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 Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0245090) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Goshen Medical Center Incorporated accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Goshen Medical Center Incorporated 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 Incorporated was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.