Organization · Type 2 NPI

Gaston Family Health Services, Inc.

Federally Qualified Health Center (FQHC) · Maiden, NC

NPI number 1124663778 Active

Practice location

600 W Main St
Maiden, NC 28650-1146

Call (828) 428-8197 Map

Fax (828) 428-8341

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

Natalie Proctor Holmes, LCMHCMental Health Counselor Maiden, NC NPI 1750019741

Other federally qualified health center (fqhc) providers in Maiden

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NPI record

NPI: 1124663778
Entity type: Organization (Type 2)
Issued: Nov 7, 2019
Last updated: Dec 20, 2019
Status: Active
Subpart: Yes of Gaston Family Health Services, Inc.

Other names

<unavail>
Kintegra at Maiden High · doing business as

Authorized official

Sharmila Alexander Anderson
Business Services Administrator
(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 1124663778

Gaston Family Health Services, Inc.'s National Provider Identifier is 1124663778, issued on Nov 7, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Maiden, NC. The record was last updated on Dec 20, 2019.