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GOSHEN MEDICAL CENTER - KENANSVILLE
NPI 1093203473
Clinic/Center - Federally Qualified Health Center (FQHC) in Kenansville, NC

Active since May 01, 2018CLIA 34D1105946 · Microscopy
102 N MAIN ST, SUITE 2, KENANSVILLE, NC 28349(910) 275-0195(910) 275-0192 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2021, May 3, 2018 (2 updates tracked since 2018).

About Goshen Medical Center - Kenansville NPPES

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

GOSHEN MEDICAL CENTER - KENANSVILLE (NPI 1093203473) is a healthcare organization registered as a federally qualified health center (fqhc) in Kenansville, North Carolina and active in the NPI registry since May 2018. The organization holds a CLIA Microscopy certificate valid through September 30, 2027 and lists Gregory M Bounds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093203473
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER INCORPORATED
Location Address102 N MAIN ST, SUITE 2Kenansville, NC 28349-0001
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-2042
Phone(910) 275-0195
Fax(910) 275-0192
Organization SubpartNo
Authorized OfficialGregory M BoundsCeo · (910) 267-1237
Enumeration DateMay 1, 2018
Last NPPES UpdateSeptember 27, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1093203473 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
102 N MAIN ST, Kenansville, NC 28349
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Other Names 1

Doing Business AsGoshen Medical Center - Kenansville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.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) 34D1105946

Goshen Medical Center - Kenansville · Kenansville, NC
Active · expires Sep 30, 2027
CLIA Number34D1105946
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorCarl Danny Pate
Laboratory Phone(910) 335-2360
Laboratory LocationGoshen Medical Center - Kenansville102 N Main Street, Kenansville, NC 28349
CLIA data matches this NPI record on: Address Name
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 1093203473. It was assigned to this organization in the NPPES registry on May 1, 2018. The provider is doing business as Goshen Medical Center - Kenansville.

Where is Goshen Medical Center Incorporated located?

Goshen Medical Center Incorporated is located at 102 N Main St Suite 2, Kenansville, NC 28349. The listed phone number is (910) 275-0195.

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 34D1105946) is associated with this NPI, valid through September 30, 2027. 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 September 27, 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.