Active NPI
Goshen Medical Center, Incorporated
Doing business as Goshen Medical Center - Nova Pain Management
- Federally Qualified Health Center (FQHC)
- New Bern, NC
National Provider Identifier
1508364092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- GOSHEN MEDICAL CENTER, INCORPORATED
- Doing business as
- Goshen Medical Center - Nova Pain Management
- Practice address
- 1813 S Glenburnie Rd
New Bern, NC 28562-5210 - Phone
- (910) 267-2042
- NPI assigned
- Jan 30, 2018
- Last updated
- Jan 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory M Bounds
- Title
- Ceo
- Phone
- (910) 267-1237
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1813 S Glenburnie Rd
New Bern, NC 28562-5210
Mailing address
PO Box 187
Faison, NC 28341-0187
Phone (910) 267-2042
Other names 1
- Goshen Medical Center - Nova Pain Management
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517270400000",
"number": "1508364092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "FAISON",
"state": "NC",
"postal_code": "283410187",
"telephone_number": "910-267-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 S GLENBURNIE RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625210",
"telephone_number": "910-267-2042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOSHEN MEDICAL CENTER, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A",
"authorized_official_last_name": "BOUNDS",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-267-1237"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Goshen Medical Center - Nova Pain Management",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Bern, NC
- Deborah Gorsuch-Hall
- Goshen Medical Center Incorporated (Goshen Medical Center-Bridgeton)
- Goshen Medical Center Incorporated (GMC Pharmacy at New Bern)
- Goshen Medical Center, Inc. (Goshen Medical Center-Bridgeton)
- Goshen Medical Center, Incorporated (Goshen Medical Center - New Bern)
- Beth Teresa Gosnell, ATR-P, LPC-A, NCC
- Cathryn Lucy Gould, PT
- Pratibha Gouli, M.D.
- Monica Lee Gover, CPO
- Samantha Paige Govitz, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.