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GOSHEN MEDICAL CENTER WALLACE
NPI 1912022369
Clinic/Center - Federally Qualified Health Center (FQHC) in Wallace, NC

Active since March 21, 2007
110 EASTWOOD DRIVE, WALLACE, NC 28466(910) 285-2330(910) 285-3060 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Goshen Medical Center Wallace NPPES

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

GOSHEN MEDICAL CENTER WALLACE (NPI 1912022369) is a healthcare organization registered as a federally qualified health center (fqhc) in Wallace, North Carolina and active in the NPI registry since March 2007. The organization lists Reba W. Futrell, Executive Assistant/credentialing, as its authorized official.

NPPES Registry Identity

NPI1912022369
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER INCORPORATED
Location Address110 EASTWOOD DRIVEWallace, NC 28466-9236
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-0421 · Fax (910) 267-0441
Phone(910) 285-2330
Fax(910) 285-3060
Organization SubpartNo
Authorized OfficialReba W. FutrellExecutive Assistant/credentialing · (910) 267-8252
Enumeration DateMarch 21, 2007
Last NPPES UpdateFebruary 6, 2012
✔ NPI 1912022369 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
110 EASTWOOD DRIVE, Wallace, NC 28466
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Other Names 1

Other NameGoshen Medical Center Wallace

Other Identifiers 2

Medicaid344011ANC
Medicare OSCAR/certification341910NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

Other Providers at the Same Location NPPES

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

CLAUDIA COMPTON SMITH N.P.
Nurse Practitioner (Family)
110 EASTWOOD DRIVE
WALLACE, NC 28466
Duplin County (910) 285-2330

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 1912022369. It was assigned to this organization in the NPPES registry on March 21, 2007. The provider is also known as Goshen Medical Center Wallace.

Where is Goshen Medical Center Incorporated located?

Goshen Medical Center Incorporated is located at 110 Eastwood Drive, Wallace, NC 28466. The listed phone number is (910) 285-2330.

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.

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 February 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.