GOSHEN MEDICAL CENTER - DUPLIN
NPI 1962124974
Clinic/Center - Federally Qualified Health Center (FQHC) in Kenansville, NC

Q: What is Goshen Medical Center, Incorporated's NPI number?

The NPI number for Goshen Medical Center, Incorporated is 1962124974. It was assigned to this organization in the NPPES registry on September 15, 2022. The provider is doing business as Goshen Medical Center - Duplin.

Q: 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.

Active since September 15, 2022CLIA 34D2269915 · Waiver

214 DUPLIN ST, KENANSVILLE, NC 28349(910) 296-1811(910) 296-0862 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2022, Sep 15, 2022 (2 updates tracked since 2022).

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About Goshen Medical Center - Duplin NPPES

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

GOSHEN MEDICAL CENTER - DUPLIN (NPI 1962124974) is a healthcare organization registered as a federally qualified health center (fqhc) in Kenansville, North Carolina and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Gregory M Bounds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962124974

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameGOSHEN MEDICAL CENTER, INCORPORATED

Location Address214 DUPLIN STKenansville, NC 28349-9024

Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-2042

Phone(910) 296-1811

Fax(910) 296-0862

Organization SubpartNo

Authorized OfficialGregory M BoundsCeo · (910) 267-1237

Enumeration DateSeptember 15, 2022

Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2022

✔ NPI 1962124974 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

214 DUPLIN ST, Kenansville, NC 28349

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Other Names 1

Doing Business AsGoshen Medical Center - Duplin

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 34D2269915

Goshen Medical Center- Duplin · Kenansville, NC

Active · expires Oct 4, 2026

CLIA Number34D2269915

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateOctober 5, 2024

Certificate Expiration DateOctober 4, 2026

Laboratory DirectorCorazon Ngo

Laboratory Phone(910) 296-1811

Laboratory LocationGoshen Medical Center- Duplin214 Duplin Street, Kenansville, NC 28349

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.

MRS. CORAZON NGO MD

Internal Medicine

214 DUPLIN ST
KENANSVILLE, NC 28349

Duplin County (910) 296-1811

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 1962124974. It was assigned to this organization in the NPPES registry on September 15, 2022. The provider is doing business as Goshen Medical Center - Duplin.

Where is Goshen Medical Center, Incorporated located?

Goshen Medical Center, Incorporated is located at 214 Duplin St, Kenansville, NC 28349. The listed phone number is (910) 296-1811.

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 34D2269915) is associated with this NPI, valid through October 4, 2026. 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 September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.