Goshen Medical Center Incorporated
Organization Active NPI General Practice Dentistry · Faison, NC
NPI 1902084486 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1902084486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- GOSHEN MEDICAL CENTER INCORPORATED
- Practice address
- 460 SW Center Street
Faison, NC 28341 - Phone
- (910) 267-0951
- NPI assigned
- Feb 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Gregory M Bounds
- Title
- Ceo
- Phone
- (910) 267-1942
Other NPIs on the same Medicare enrollment 44
Corporate family (same tax ID) 41
Practitioners 2
-
Maria Alvarez, DDS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040102000726 | NC | Part B Supplier - Clinic/Group Practice | 3173434479 |
Receives reassigned benefits from 224 practitioners 45 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kenansville, NC; Morehead City, NC; Mount Olive, NC; New Bern, NC; Rockingham, NC; Rose Hill, NC; Sanford, NC; Southport, NC… |
National Provider Directory
- Tax ID family
- Goshen Medical Center
- Part of
- Goshen Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X |
Addresses
Primary practice location
460 SW Center Street
Faison, NC 28341
Mailing address
PO Box 187
Faison, NC 28341-0187
Phone (910) 267-0421
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5908911 | Medicaid | NC |
Other names
- GOSHEN MEDICAL CENTER FAISON DENTAL SERVICES
Other providers in Faison, NC
- John Louis Gentri
- Goshen Medical Center Incorporated
- Goshen Medical Center Incorporated
- Goshen Medical Center Incorporated
- Goshen Medical Center Incorporated
- Karen Lynn Halter
- Kristi Ann Kerr
- Aixa Nieves Kimes
- Phillip Joseph Kohut
- Sandra L. Krantz
All providers in Faison, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.