Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC.
Other names
Kintegra/SHA at Petree Elementary
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
3815 OLD GREENSBORO RD, WINSTON SALEM, NC 27101-2037
(336) 703-4141
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
Enumeration date
05/21/2021
Last updated
05/21/2021
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