GOSHEN MEDICAL CENTER - ELIZABETHTOWN
NPI 1982357943
Clinic/Center - Federally Qualified Health Center (FQHC) in Elizabethtown, NC
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 34D2258017
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 04-13-2028
About GOSHEN MEDICAL CENTER - ELIZABETHTOWN
This page provides the complete NPI Profile along with additional information for Goshen Medical Center - Elizabethtown, a primary care provider established in Elizabethtown, North Carolina operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1982357943 assigned on January 2022. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Goshen Medical Center - Elizabethtown. The authorized official of this NPI record is Mr. Gregory Bounds (Ceo)
- NPI
- 1982357943 Verify this NPI
- Provider Legal Name
- GOSHEN MEDICAL CENTER, INCORPORATED
- Other Organization Name
- GOSHEN MEDICAL CENTER - ELIZABETHTOWN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 400 MERCER MILL RD ELIZABETHTOWN, NC 28337
- Location Phone
- (910) 879-3216
- Mailing Address
- PO BOX 187 FAISON, NC 28341
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-31-2022
- Last Update Date
- 09-20-2022
- Code Navigator
A primary care provider (PCP) like Goshen Medical Center - Elizabethtown sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2258017
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- April 14, 2026
- Certificate Expiration Date
- April 13, 2028
- Laboratory Director
- KENDALL SMITH
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Goshen Medical Center - Elizabethtown in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982357943, enumerated as an "organization" on January 31, 2022.
The provider is located at 400 MERCER MILL RD ELIZABETHTOWN, NC 28337 and the phone number is (910) 879-3216.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
