Gaston Family Health Services, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Shelby, NC. Organization (NPI-2).
NPI number1083384366
StatusActive
Last updated in NPPESSep 17, 2021
Details
- NPI
- 1083384366
- Entity type
- Organization (NPI-2)
- Legal business name
- Gaston Family Health Services, INC.
- Organization subpart
- Yes
- Enumeration date
- Sep 17, 2021
- Certification date
- Sep 1, 2021
- Last updated
- Sep 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Kintegra At Cleveland Community College (Doing Business As)
Practice location
137 S Post RdShelby, NC 28152-6224
Phone 704-669-6000
Mailing address
200 E 2nd AveGastonia, NC 28052-4358
Authorized official
Sharmila Alexander Anderson
Medical Billing & Coding Supervisor
7048741907
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