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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