Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC.
Other names
Kintegra Family Medicine - Fallston
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTON FAMILY HEALTH SERVICES, INC.
Authorized official
SHARMILA ALEXANDER ANDERSON (MEDICAL BILLING & CODING SUPERVISOR)
(704) 874-1907
Entity
Organization
Contact information
Practice address
5009 FALLSTON RD, LAWNDALE, NC 28090-9585
(704) 538-8532
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/16/2022
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