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 - Lincolnton
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
212 GAMBLE DR, LINCOLNTON, NC 28092-4421
(704) 735-7145
(704) 732-7522
Mailing address
200 E SECOND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 867-2134
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344031A
—
NC
Enumeration date
02/23/2010
Last updated
05/07/2021
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