Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC.
Other names
Kintegra/SHA at Hanes Magnet
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
2355 PLEASANT ST, WINSTON SALEM, NC 27107-4334
(336) 703-4171
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1907
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
01/22/2019
Last updated
01/16/2020
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