GOSHEN MEDICAL CENTER-FREMONT
NPI 1679718316
Clinic/Center - Federally Qualified Health Center (FQHC) in Fremont, NC

Active since December 10, 2008CLIA 34D0699925 · Microscopy
109 S SYCAMORE ST, FREMONT, NC 27830(919) 242-4382(919) 242-4526 Get Directions Write a Review

NPPES record last updated: March 26, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Goshen Medical Center-fremont NPPES

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

GOSHEN MEDICAL CENTER-FREMONT (NPI 1679718316) is a healthcare organization registered as a federally qualified health center (fqhc) in Fremont, North Carolina and active in the NPI registry since December 2008. The organization holds a CLIA Microscopy certificate valid through July 22, 2028 and lists Reba W. Futrell, Executive Assistant/credentialing, as its authorized official.

NPPES Registry Identity

NPI1679718316
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER, INC.
Location Address109 S SYCAMORE STFremont, NC 27830-8710
Mailing Address109 S Sycamore StFremont, NC 27830-8710 · (919) 242-4382 · Fax (919) 242-4526
Fax(919) 242-4526
Organization SubpartYesParent: Goshen Medical Center Inc.
Authorized OfficialReba W. FutrellExecutive Assistant/credentialing · (910) 267-1942
Enumeration DateDecember 10, 2008
Last NPPES UpdateMarch 26, 2010
NPI 1679718316 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
109 S SYCAMORE ST, Fremont, NC 27830

Other Names 1

Other NameGoshen Medical Center-fremont

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0699925

Goshen Medical Center-Fremont · Fremont, NC
Active · expires Jul 22, 2028
CLIA Number34D0699925
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorJoe Warren PA
Laboratory Phone(919) 242-6171
Laboratory LocationGoshen Medical Center-Fremont109 S Sycamore St, Fremont, NC 27830
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

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

Physician Assistant (Medical)
109 S SYCAMORE ST
FREMONT, NC 27830

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, Inc.'s NPI number?

The NPI number for Goshen Medical Center, Inc. is 1679718316. It was assigned to this organization in the NPPES registry on December 10, 2008. The provider is also known as Goshen Medical Center-Fremont.

Where is Goshen Medical Center, Inc. located?

Goshen Medical Center, Inc. is located at 109 S Sycamore St, Fremont, NC 27830. The listed phone number is (919) 242-4382.

What is Goshen Medical Center, Inc.'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, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0699925) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Goshen Medical Center, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Goshen Medical Center, Inc. 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, Inc. was last updated on March 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.