Goshen Medical Center Incorporated
NPI 1912022369 · Federally Qualified Health Center (FQHC) · Wallace, NC
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Goshen Medical Center Incorporated is a Federally Qualified Health Center (FQHC) organization in Wallace, NC (NPI 1912022369).
Provider details
- NPI number
- 1912022369
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Reba Futrell, Executive Assistant/Credentialing(910) 267-8252
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Goshen Medical Center Wallace
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2012-02-06
Frequently asked questions
- What is Goshen Medical Center Incorporated's NPI number?
- Goshen Medical Center Incorporated's National Provider Identifier (NPI) is 1912022369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Goshen Medical Center Incorporated?
- Goshen Medical Center Incorporated is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Goshen Medical Center Incorporated located?
- Goshen Medical Center Incorporated's practice location on file with NPPES is 110 Eastwood Drive, Wallace, NC 28466-9236.
- What is Goshen Medical Center Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Goshen Medical Center Incorporated is (910) 285-2330.
- Does Goshen Medical Center Incorporated accept Medicare?
- Goshen Medical Center Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Goshen Medical Center Incorporated?
- The authorized official listed on Goshen Medical Center Incorporated's NPPES record is Reba Futrell, Executive Assistant/Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Goshen Medical Center Incorporated's NPI active?
- Yes — Goshen Medical Center Incorporated's NPI (1912022369) is active in the NPPES registry as of the last update on 2012-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.