# GASTON COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gaston County Health Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770699514
- **Authorized official:** MRS. CAROLYN C ASHWORTH (PATIENT ACCOUNTS SUPERVISOR)
- **Authorized official phone:** (704) 862-5404

## Contact information

- **Practice address:** 991 W HUDSON BLVD, GASTONIA, NC 28052-6430
- **Practice address phone:** (704) 853-5000
- **Practice address fax:** (704) 862-6194
- **Mailing address:** 991 W HUDSON BLVD, GASTONIA, NC 28052-6430
- **Mailing address phone:** (704) 853-5000
- **Mailing address fax:** (704) 862-6194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 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