Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC.
Other names
Kintegra at South Davie Middle
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTON FAMILY HEALTH SERVICES, INC.
Authorized official
SHARMILA ALEXANDER ANDERSON (MEDICAL CODING & BILLING SUPERVISOR)
(704) 874-1907
Entity
Organization
Contact information
Practice address
197 S DAVIE DR, MOCKSVILLE, NC 27028-2927
(336) 751-5941
(336) 751-5656
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
07/07/2021
Last updated
07/07/2021
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