Organization · Type 2 NPI

Gaston Family Health Services, Inc

Federally Qualified Health Center (FQHC) · Kernersville, NC

NPI number 1235965757 Active

Practice location

1600 Union Cross Rd
Kernersville, NC 27284-7537

Call (336) 703-4273 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...

Another provider at this address

Jeryl Eric Dillow, L.A.T., A.T.C.Athletic Trainer Kernersville, NC NPI 1245243682

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NPI record

NPI: 1235965757
Entity type: Organization (Type 2)
Issued: Sep 11, 2024
Last updated: Sep 11, 2024
Status: Active
Subpart: Yes of Gaston Family Health Services, Inc

Other names

Kintegra/sha at Robert B Glenn High · 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 1235965757

Gaston Family Health Services, Inc's National Provider Identifier is 1235965757, issued on Sep 11, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Kernersville, NC. The record was last updated on Sep 11, 2024.