Gaston Family Health Services INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Gastonia, NC. Organization (NPI-2).
NPI number1477079283
StatusActive
Last updated in NPPESJan 15, 2020
Details
- NPI
- 1477079283
- Entity type
- Organization (NPI-2)
- Legal business name
- Gaston Family Health Services INC
- Organization subpart
- Yes
- Enumeration date
- Aug 15, 2017
- Certification date
- Jan 15, 2020
- Last updated
- Jan 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 13352 | NC |
Other names
- Kintegra Adult & Pediatric Medicine - Xray Dr (Doing Business As)
Practice location
2721 X Ray DrGastonia, NC 28054-7491
Phone 704-874-2255 · Fax 704-852-4092
Mailing address
200 E 2nd AveGastonia, NC 28052-4358
Phone 704-874-1904 · Fax 704-864-7608
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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