Organization · Type 2 NPI

Gaston Family Health Services, Inc.

Federally Qualified Health Center (FQHC) · Dallas, NC

NPI number 1023689304 Active

Practice location

201 Highway 321 S
Dallas, NC 28034-1402

Call (704) 922-6200 Map

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

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NPI record

NPI: 1023689304
Entity type: Organization (Type 2)
Issued: Jul 7, 2021
Last updated: Jul 9, 2021
Status: Active
Subpart: Yes of Gaston Family Health Services, Inc.

Other names

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Kintegra at Gaston Early College of Medical Sciences · doing business as
Kintegra at Gaston Early College of Medical Sciences · doing business as

Authorized official

Sharmila Alexander Anderson
Medical Billing & Coding Supervisor
(704) 874-1907

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023689304

Gaston Family Health Services, Inc.'s National Provider Identifier is 1023689304, issued on Jul 7, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Dallas, NC. The record was last updated on Jul 9, 2021.