Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Parent organization
CATAWBA VALLEY MEDICAL GROUP, INC.
Other names
Catawba Valley Family Medicine - Northeast Hickory
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATAWBA VALLEY MEDICAL GROUP, INC.
Authorized official
MR. ROBERT ERVIN SPENCER (CEO)
(704) 874-1902
Entity
Organization
Contact information
Practice address
2365 SPRINGS RD NE, HICKORY, NC 28601-3067
(828) 256-2112
(828) 256-2393
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052
(704) 874-1904
(704) 874-0707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407133069
—
NC
Enumeration date
11/10/2011
Last updated
05/07/2021
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