Organization
GASTON FAMILY HEALTH SERVICES, INC.
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC.
Other names
Kintegra at Davie County High
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
180 WAR EAGLE DR, MOCKSVILLE, NC 27028-6151
(336) 751-5905
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1900
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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