GOSHEN MEDICAL CENTER - NEW RIVER
NPI 1669797700
Clinic/Center - Federally Qualified Health Center (FQHC) in Jacksonville, NC

Active since April 01, 2010CLIA 34D2023544 · Waiver
1200 HARGETT ST, JACKSONVILLE, NC 28540(910) 219-1082(910) 219-1087 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Goshen Medical Center - New River NPPES

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

GOSHEN MEDICAL CENTER - NEW RIVER (NPI 1669797700) is a healthcare organization registered as a federally qualified health center (fqhc) in Jacksonville, North Carolina and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Reba W. Futrell, Executive Assistant/credentialing, as its authorized official.

NPPES Registry Identity

NPI1669797700
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER INCORPORATED
Location Address1200 HARGETT STJacksonville, NC 28540-5933
Mailing Address444 Sw Center StFaison, NC 28341-8820 · (910) 267-0421 · Fax (910) 267-8683
Fax(910) 219-1087
Organization SubpartNo
Authorized OfficialReba W. FutrellExecutive Assistant/credentialing · (910) 267-8252
Enumeration DateApril 1, 2010
Last NPPES UpdateJanuary 23, 2012
NPI 1669797700 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 · Primary CareTaxonomy 261QP2300X
1200 HARGETT ST, Jacksonville, NC 28540

Other Names 1

Other NameGoshen Medical Center - New River

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 34D2023544

Goshen Medical Center - New River · Jacksonville, NC
Active · expires Apr 25, 2027
CLIA Number34D2023544
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorMark Hollingsworth
Laboratory Phone(910) 219-1082
Laboratory LocationGoshen Medical Center - New River1200 Hargett St, Jacksonville, NC 28540
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.

Nurse Practitioner (Family)
1200 HARGETT ST
JACKSONVILLE, NC 28540

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 1669797700. It was assigned to this organization in the NPPES registry on April 1, 2010. The provider is also known as Goshen Medical Center - New River.

Where is Goshen Medical Center Incorporated located?

Goshen Medical Center Incorporated is located at 1200 Hargett St, Jacksonville, NC 28540. The listed phone number is (910) 219-1082.

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 34D2023544) is associated with this NPI, valid through April 25, 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 January 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.