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Organization
GASTON COUNTY
Active
Organization
GASTON COUNTY
Active
Other names
Gaston County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN C ASHWORTH (PATIENT ACCOUNTS SUPERVISOR)
(704) 862-5404
Entity
Organization
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
(704) 862-6194
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
(704) 862-6194
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
261QP0905X
State or Local Public Health Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
34D0683590
NC
291U00000X
Clinical Medical Laboratory
34D1053826
NC
291U00000X
Clinical Medical Laboratory
34D1053830
NC
3336C0002X
Clinic Pharmacy
04558
NC
3336C0002X
Clinic Pharmacy
09321
NC
3336C0002X
Clinic Pharmacy
09322
NC
Other
Enumeration date
08/22/2006
Last updated
08/01/2019
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