Organization
GASTON FAMILY HEALTH SERVICES INC
Active
Organization
GASTON FAMILY HEALTH SERVICES INC
Active
Parent organization
GASTON FAMILY HEALTH SERVICES INC
Other names
Kintegra at Southwest Middle
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTON FAMILY HEALTH SERVICES INC
Authorized official
SHARMILA ALEXANDER ANDERSON (COLLABORATIVE RELATIONSHIP MANAGER)
(704) 874-1907
Entity
Organization
Contact information
Practice address
1 ROADRUNNER DR, GASTONIA, NC 28052-6267
(704) 866-6290
(704) 866-6293
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1907
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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