Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC
Other names
Kintegra Family Medicine - 3rd Ave
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
111 E 3RD AVE, GASTONIA, NC 28052-4343
(704) 874-3300
(704) 874-0065
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 871-1904
(704) 864-7608
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136X
BLUE CROSS NUMBER
NC
01
—
34D1048048
CLIA WAIVER
NC
Enumeration date
03/28/2007
Last updated
01/22/2026
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