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Gaston Family Health Services, INC.

Clinic/Center, Federally Qualified Health Center (FQHC) in Waxhaw, NC. Organization (NPI-2).

NPI number1013783554
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1013783554
Entity type
Organization (NPI-2)
Legal business name
Gaston Family Health Services, INC.
Organization subpart
Yes
Enumeration date
Nov 27, 2023
Certification date
Nov 27, 2023
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes

Other names

  • Kintegra At Atrium Women'S Care - Waxhaw (Doing Business As)

Practice location

2700 Providence Rd S Ste 200
Waxhaw, NC 28173-6317

Phone 704-289-2553

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Authorized official

Sharmila Alexander Anderson
Revenue Cycle Manager
7048741907

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