Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC
Other names
Kintegra Family Medicine - Hudson
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTON FAMILY HEALTH SERVICES, INC
Authorized official
SHARMILA ALEXANDER ANDERSON (BUSINESS SERVICE ADMINISTRATOR)
(704) 874-1907
Entity
Organization
Contact information
Practice address
991 WEST HUDSON BOULEVARD, GASTONIA, NC 28052-6430
(704) 853-5079
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
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
—
344574A
—
NC
01
—
611963200
BLACK LUNG PROGRAM
NC
05
—
NPB239
—
SC
Enumeration date
06/16/2005
Last updated
01/15/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up