340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH04580P GOSHEN MEDICAL CENTER, INC. (Terminated)
Print
Main Details
Name
GOSHEN MEDICAL CENTER, INC.
Subdivision Name
GOSHEN MEDICAL CTR - TRENTON
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009354
340B ID
CH04580P
Grant Number
H80CS00181
Additional Details
Current Program Status
Terminated
Registration Date
3/1/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/2/2011
Last Recertification Date
2/11/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Goshen Medical Center, Inc.
GREG BOUNDS, CEO
(910) 267-1942 Ext: 1117
Primary Contact
Goshen Medical Center, Inc.
Diane Graham, Chief Accounting Officer
(910) 267-2057 Ext: 1358
Addresses
Street Address
104 E Lakeview Dr
Trenton, NC 28585-8893
Billing Address
GOSHEN MEDICAL CENTER, INC.
PO BOX 187
FAISON, NC 28341-0187
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session