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Organization

GASTON FAMILY HEALTH SERVICES, INC.

Active
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Organization

GASTON FAMILY HEALTH SERVICES, INC.

Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC
Other names
Kintegra Pediatric Medicine - Statesville
Organization subpart
Yes

Provider details

NPI number
Legal business name
GASTON FAMILY HEALTH SERVICES, INC
Authorized official
SHARMILA ANDERSON (BUSINESS SERVICE ADMINISTRATOR)
(704) 874-1907
Entity
Organization

Contact information

Practice address
518 BROOKDALE DR, STATESVILLE, NC 28677-4108
(704) 872-9595
(704) 872-5851
Mailing address
200 E 2ND 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

Enumeration date
09/11/2012
Last updated
05/07/2021
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