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

NPI Status: Active since August 30, 2022

Contact Information

2807 S HOMER BLVD
SANFORD, NC
ZIP 27330
Phone: (984) 251-1331
Fax: (984) 251-1361

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 34D2267569
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 08-25-2026

About GOSHEN MEDICAL CENTER-SANFORD

This page provides the complete NPI Profile along with additional information for Goshen Medical Center-sanford, a primary care provider established in Sanford, North Carolina operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1134849219 assigned on August 2022. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Goshen Medical Center-sanford. The authorized official of this NPI record is Gregory M Bounds (Ceo)

NPI
1134849219
Provider Legal Name
GOSHEN MEDICAL CENTER INCORPORATED
Other Organization Name
GOSHEN MEDICAL CENTER-SANFORD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2807 S HOMER BLVD SANFORD, NC 27330
Location Phone
(984) 251-1331
Location Fax
(984) 251-1361
Mailing Address
PO BOX 187 FAISON, NC 28341
Mailing Phone
(910) 267-2042
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2022
Last Update Date
04-18-2023
Code Navigator

A primary care provider (PCP) like Goshen Medical Center-sanford sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREGORY M BOUNDS

Authorized Official Title
CEO
Authorized Official Phone
(910) 267-1237

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2267569
Facility Type
Federally Qualified Health Center
Certificate Effective Date
August 26, 2024
Certificate Expiration Date
August 25, 2026
Laboratory Director
RACHEL DOBY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Goshen Medical Center-sanford to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134849219, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 8 → 16 → 7 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 1 + 6 + 4 + 1 + 8 + 2 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1134849219.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134849219, enumerated as an "organization" on August 30, 2022.

The provider is located at 2807 S HOMER BLVD SANFORD, NC 27330 and the phone number is (984) 251-1331.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).