Gaston Family Health Services, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Gastonia, NC. Organization (NPI-2).
NPI number1164084562
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1164084562
- Entity type
- Organization (NPI-2)
- Legal business name
- Gaston Family Health Services, INC.
- Organization subpart
- Yes
- Enumeration date
- Jul 5, 2019
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Kintegra At Woodhill Elementary (Doing Business As)
Practice location
1027 Woodhill DrGastonia, NC 28054-2466
Phone 704-866-6295
Mailing address
200 E 2nd AveGastonia, NC 28052-4358
Phone 704-874-1904
Authorized official
Sharmila Alexander Anderson
Business Services Administrator
7048741907
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All 40 Federally Qualified Health Center (FQHC) providers in Gastonia · All 4,085 providers in Gastonia
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