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Organization

GASTON COUNTY

Active
Other names
Gaston County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROLYN C ASHWORTH (PATIENT ACCOUNTS SUPERVISOR)
(704) 862-5404
Entity
Organization

Contact information

Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
(704) 862-6194
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
(704) 862-6194

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
251B00000X
Case Management Agency
251K00000X
Public Health or Welfare Agency
Primary
261QC1500X
Community Health Clinic/Center
261QF0050X
Non-Surgical Family Planning Clinic/Center
261QM2500X
Medical Specialty Clinic/Center
261QP0905X
State or Local Public Health Clinic/Center
261QP2300X
Primary Care Clinic/Center
291U00000X
Clinical Medical Laboratory
34D0683590
NC
291U00000X
Clinical Medical Laboratory
34D1053826
NC
291U00000X
Clinical Medical Laboratory
34D1053830
NC
3336C0002X
Clinic Pharmacy
04558
NC
3336C0002X
Clinic Pharmacy
09321
NC
3336C0002X
Clinic Pharmacy
09322
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0107P
BCBS INSURANCE
NC
05
3404444
NC
05
890107P
NC
05
NPA740
SC
Enumeration date
08/22/2006
Last updated
08/01/2019
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