GOSHEN MEDICAL CENTER BEULAVILLE ELEMENTARY
NPI 1376084251
Clinic/Center - Federally Qualified Health Center (FQHC) in Beulaville, NC

Active since March 13, 2017CLIA 34D0245975 · Microscopy
138 LYMAN RD, BEULAVILLE, NC 28518(910) 267-1942 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Goshen Medical Center Beulaville Elementary NPPES

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

GOSHEN MEDICAL CENTER BEULAVILLE ELEMENTARY (NPI 1376084251) is a healthcare organization registered as a federally qualified health center (fqhc) in Beulaville, North Carolina and active in the NPI registry since March 2017. The organization holds a CLIA Microscopy certificate valid through January 13, 2027 and lists Greg Bounds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376084251
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER INCORPORATED
Location Address138 LYMAN RDBeulaville, NC 28518-7614
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-2042
Organization SubpartNo
Authorized OfficialGreg BoundsCeo · (910) 267-2042
Enumeration DateMarch 13, 2017
NPI 1376084251 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
138 LYMAN RD, Beulaville, NC 28518

Other Names 1

Doing Business AsGoshen Medical Center Beulaville Elementary

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) 34D0245975

Goshen Medical Center - Beulaville · Beulaville, NC
Active · expires Jan 13, 2027
CLIA Number34D0245975
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorCarl D. Pate
Laboratory Phone(919) 289-4165
Laboratory LocationGoshen Medical Center - Beulaville119 Crossover Road W, Beulaville, NC 28518
CLIA data matches this NPI record on: 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 1376084251. It was assigned to this organization in the NPPES registry on March 13, 2017. The provider is doing business as Goshen Medical Center Beulaville Elementary.

Where is Goshen Medical Center Incorporated located?

Goshen Medical Center Incorporated is located at 138 Lyman Rd, Beulaville, NC 28518. The listed phone number is (910) 267-1942.

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 34D0245975) is associated with this NPI, valid through January 13, 2027. 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 March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.