Organization · Type 2 NPI

Gaston Family Health Services, Inc.

Federally Qualified Health Center (FQHC) · Jonesville, NC

NPI number 1104500701 Active

Practice location

101 Cedarbrook Rd
Jonesville, NC 28642-2405

Call (336) 551-1148 Map

Fax (336) 551-1149

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...

Another provider at this address

Jacquelinne Aguilera Maya, LCSWClinical Social Worker Jonesville, NC NPI 1013636539

NPI record

NPI: 1104500701
Entity type: Organization (Type 2)
Issued: Jun 14, 2023
Last updated: Jun 14, 2023
Status: Active
Subpart: Yes of Gaston Family Health Services, Inc.

Other names

Kintegra at Jonesville Elementary · doing business as

Authorized official

Sharmila Alexander Anderson
Revenue Cycle Manager
(704) 874-1907

Verify this record

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 1104500701

Gaston Family Health Services, Inc.'s National Provider Identifier is 1104500701, issued on Jun 14, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jonesville, NC. The record was last updated on Jun 14, 2023.