Organization
GASTON FAMILY HEALTH SERVICES, INC
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC
Other names
Kintegra Family Dentistry - Hickory
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTON FAMILY HEALTH SERVICES, INC
Authorized official
SHARMILA ALEXANDER ANDERSON (BUSINESS SERVICES ADMINISTRATOR)
(704) 874-1907
Entity
Organization
Contact information
Practice address
3070 11TH AVENUE DR SE, HICKORY, NC 28602-8336
(828) 695-5778
(704) 671-1404
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5191
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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