GOSHEN MEDICAL CENTER-SANFORD
NPI 1134849219
Clinic/Center - Federally Qualified Health Center (FQHC) in Sanford, NC

Active since August 30, 2022CLIA 34D2267569 · Waiver
2807 S HOMER BLVD, SANFORD, NC 27330(984) 251-1331(984) 251-1361 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2022, Sep 1, 2022 (2 updates tracked since 2022).

About Goshen Medical Center-sanford NPPES

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

GOSHEN MEDICAL CENTER-SANFORD (NPI 1134849219) is a healthcare organization registered as a federally qualified health center (fqhc) in Sanford, North Carolina and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Gregory M Bounds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1134849219
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER INCORPORATED
Location Address2807 S HOMER BLVDSanford, NC 27330-8037
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-2042
Fax(984) 251-1361
Organization SubpartNo
Authorized OfficialGregory M BoundsCeo · (910) 267-1237
Enumeration DateAugust 30, 2022
Last NPPES UpdateApril 18, 20232 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
NPI 1134849219 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
2807 S HOMER BLVD, Sanford, NC 27330

Other Names 1

Doing Business AsGoshen Medical Center-sanford

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 34D2267569

Goshen Medical Center - Sanford · Sanford, NC
Active · expires Aug 25, 2026
CLIA Number34D2267569
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorRachel Doby
Laboratory Phone(984) 251-1331
Laboratory LocationGoshen Medical Center - Sanford2807 South Horner Boulevard, Sanford, NC 27332
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
2807 S HOMER BLVD
SANFORD, NC 27330

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 1134849219. It was assigned to this organization in the NPPES registry on August 30, 2022. The provider is doing business as Goshen Medical Center-Sanford.

Where is Goshen Medical Center Incorporated located?

Goshen Medical Center Incorporated is located at 2807 S Homer Blvd, Sanford, NC 27330. The listed phone number is (984) 251-1331.

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 of Waiver (number 34D2267569) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Goshen Medical Center Incorporated was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.