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GOSHEN MEDICAL CENTER BOLTON
NPI 1164695375
Clinic/Center - Federally Qualified Health Center (FQHC) in Bolton, NC

Active since April 09, 2008CLIA 34D1051327 · Microscopy

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goshen Medical Center Bolton NPPES

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

GOSHEN MEDICAL CENTER BOLTON (NPI 1164695375) is a healthcare organization registered as a federally qualified health center (fqhc) in Bolton, North Carolina and active in the NPI registry since April 2008. The organization holds a CLIA Microscopy certificate valid through August 31, 2027 and lists Rebecca M Brown, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1164695375
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER INCORPORATED
Location Address213 9TH STBolton, NC 28423-8410
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-0421
Phone(910) 655-8300
Organization SubpartNo
Authorized OfficialRebecca M BrownCredentialing · (910) 267-8252
Enumeration DateApril 9, 2008
Last NPPES UpdateFebruary 18, 2015
✔ NPI 1164695375 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
213 9TH ST, Bolton, NC 28423
Open in Google Maps ↗

Other Names 1

Other NameGoshen Medical Center Bolton

Other Identifiers 1

Medicare OSCAR/certification341940NC

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) 34D1051327

Goshen Medical Center - Bolton · Bolton, NC
Active · expires Aug 31, 2027
CLIA Number34D1051327
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorKathy Mckenzie
Laboratory Phone(910) 212-6918
Laboratory LocationGoshen Medical Center - Bolton213 9th Street, Bolton, NC 28423
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.

Other Providers at the Same Location NPPES 4

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

KATHY LYNN MCKENZIE NP
Nurse Practitioner (Family)
213 9TH ST
BOLTON, NC 28423
Columbus County (910) 212-6918
BOLTON HEALTH & WELLNESS CENTER
Family Medicine
213 9TH ST
BOLTON, NC 28423
Columbus County (910) 655-8830
KIMBERLY ANNE MAJOR PAC
Physician Assistant (Medical)
213 9TH ST
BOLTON, NC 28423
Columbus County (910) 655-8300
LAUREN MCPHERSON FNP-C
Nurse Practitioner (Family)
213 9TH ST
BOLTON, NC 28423
Columbus County (910) 212-6918

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 1164695375. It was assigned to this organization in the NPPES registry on April 9, 2008. The provider is also known as Goshen Medical Center Bolton.

Where is Goshen Medical Center Incorporated located?

Goshen Medical Center Incorporated is located at 213 9th St, Bolton, NC 28423. The listed phone number is (910) 655-8300.

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 34D1051327) is associated with this NPI, valid through August 31, 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 February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.