GOSHEN MEDICAL CENTER, INC.
NPI 1801676994
Clinic/Center - Federally Qualified Health Center (FQHC) in Jacksonville, NC

Active since October 05, 2023CLIA 34D2293699 · Waiver
158 MEMORIAL CT, JACKSONVILLE, NC 28546(910) 267-0421(910) 267-0441 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Dec 30, 2024, Aug 2, 2024 and 2 more (5 updates tracked since 2023).

About Goshen Medical Center, Inc. NPPES

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

GOSHEN MEDICAL CENTER, INC. (NPI 1801676994), doing business as Goshen Medical Center-jacksonville, is a healthcare organization registered as a federally qualified health center (fqhc) in Jacksonville, North Carolina and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Gregory M Bounds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801676994
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER, INC.
Location Address158 MEMORIAL CTJacksonville, NC 28546-6322
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-2057
Fax(910) 267-0441
Organization SubpartNo
Authorized OfficialGregory M BoundsCeo · (910) 267-1237
Enumeration DateOctober 5, 2023
Last NPPES UpdateMarch 17, 20255 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1801676994 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/CenterTaxonomy 261Q00000X
158 MEMORIAL CT, Jacksonville, NC 28546

Other Names 1

Doing Business AsGoshen Medical Center-jacksonville

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 34D2293699

Goshen Medical Center - Jacksonville · Jacksonville, NC
Active · expires Nov 13, 2027
CLIA Number34D2293699
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorRose Duncan
Laboratory Phone(910) 353-5111
Laboratory LocationGoshen Medical Center - Jacksonville158 Memorial Court, Jacksonville, NC 28546
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Specialist
158 MEMORIAL CT
JACKSONVILLE, NC 28546
Physician Assistant
158 MEMORIAL CT
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
158 MEMORIAL CT
JACKSONVILLE, NC 28546
Pharmacist
158 MEMORIAL CT
JACKSONVILLE, NC 28546
Clinic/Center (Federally Qualified Health Center (FQHC))
158 MEMORIAL CT
JACKSONVILLE, NC 28546
Internal Medicine
158 MEMORIAL CT
JACKSONVILLE, NC 28546
Specialist
158 MEMORIAL CT
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
158 MEMORIAL CT
JACKSONVILLE, NC 28546

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 1801676994. It was assigned to this organization in the NPPES registry on October 5, 2023. The provider is doing business as Goshen Medical Center-Jacksonville.

Where is Goshen Medical Center, Inc. located?

Goshen Medical Center, Inc. is located at 158 Memorial Ct, Jacksonville, NC 28546. The listed phone number is (910) 267-0421.

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 of Waiver (number 34D2293699) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Goshen Medical Center, Inc. accept?

Health plans from Medica 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 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.