Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC
Other names
Bessemer City Health Care Center, Kintegra Family Medicine - Bessemer City
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTON FAMILY HEALTH SERVICES, INC
Authorized official
SHARMILA ALEXANDER ANDERSON (BUSINESS SERVICE ADMIN)
(704) 874-1900
Entity
Organization
Contact information
Practice address
119 WEST PENNSYLVANIA AVENUE, BESSEMER CITY, NC 28016-2635
(704) 629-3465
(704) 629-1355
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 864-7608
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136X
BLUE CROSS NUMBER
NC
05
—
344580C
—
NC
05
—
8700322
—
NC
05
—
NPB242
—
SC
Enumeration date
03/27/2007
Last updated
10/06/2020
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