GOSHEN MEDICAL CENTER - TABOR CITY DENTAL SERVICES
NPI 1275049702
Clinic/Center - Federally Qualified Health Center (FQHC) in Tabor City, NC

Active since December 20, 2017CLIA 34D2102331 · Waiver
270 N US 701 BYPASS, TABOR CITY, NC 28463(910) 653-1901 Get Directions Write a Review

NPPES record last updated: December 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goshen Medical Center - Tabor City Dental Services NPPES

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

GOSHEN MEDICAL CENTER - TABOR CITY DENTAL SERVICES (NPI 1275049702) is a healthcare organization registered as a federally qualified health center (fqhc) in Tabor City, North Carolina and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Gregory M Bounds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275049702
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER, INCORPORATED
Location Address270 N US 701 BYPASSTabor City, NC 28463-2705
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-2042
Organization SubpartNo
Authorized OfficialGregory M BoundsCeo · (910) 267-1237
Enumeration DateDecember 20, 2017
NPI 1275049702 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
270 N US 701 BYPASS, Tabor City, NC 28463

Other Names 1

Doing Business AsGoshen Medical Center - Tabor City Dental Services

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 of Waiver 34D2102331

Goshen Medical Center - Tabor City · Tabor City, NC
Active · expires Sep 20, 2027
CLIA Number34D2102331
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorJonathan C. Blackmore
Laboratory Phone(910) 653-1901
Laboratory LocationGoshen Medical Center - Tabor City270 N Us 701 Bypass, Tabor City, NC 28463
CLIA data matches this NPI record on: Address 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.

Clinic/Center (Federally Qualified Health Center (FQHC))
270 N US 701 BYPASS
TABOR CITY, NC 28463

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 1275049702. It was assigned to this organization in the NPPES registry on December 20, 2017. The provider is doing business as Goshen Medical Center - Tabor City Dental Services.

Where is Goshen Medical Center, Incorporated located?

Goshen Medical Center, Incorporated is located at 270 N Us 701 Bypass, Tabor City, NC 28463. The listed phone number is (910) 653-1901.

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 34D2102331) is associated with this NPI, valid through September 20, 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, Ambetter of Tennessee and Blue Cross and Blue Shield of NC 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 December 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.