Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC.
Other names
Kintegra at North Gaston High
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
1133 RATCHFORD DR, DALLAS, NC 28034-6500
(704) 922-5285
(704) 922-7486
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
07/22/2022
Last updated
07/22/2022
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