Organization · Type 2 NPI

Gaston Family Health Services, Inc.

Federally Qualified Health Center (FQHC) · Dallas, NC

NPI number 1194450130 Active

Practice location

1133 Ratchford Dr
Dallas, NC 28034-6500

Call (704) 922-5285 Map

Fax (704) 922-7486

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...

2 other providers at this address

Ashley Victoria Jackson, LCSWAClinical Social Worker Dallas, NC NPI 1275259376
Lauren Mickel Washington, LCMHCAMental Health Counselor Dallas, NC NPI 1639057615

Other federally qualified health center (fqhc) providers in Dallas

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NPI record

NPI: 1194450130
Entity type: Organization (Type 2)
Issued: Jul 22, 2022
Last updated: Jul 22, 2022
Status: Active
Subpart: Yes of Gaston Family Health Services, Inc.

Other names

Kintegra at North Gaston High · doing business as

Authorized official

Sharmila Alexander Anderson
Medical Billing & Coding Supervisor
(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 1194450130

Gaston Family Health Services, Inc.'s National Provider Identifier is 1194450130, issued on Jul 22, 2022. 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 22, 2022.