Organization · Type 2 NPI

Gaston Family Health Services, Inc.

Federally Qualified Health Center (FQHC) · Mocksville, NC

NPI number 1255065835 Active

Practice location

160 Martin Luther King Jr Rd
Mocksville, NC 27028-7780

Call (336) 751-5712 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

Lauren Kelty Garwood, LCMHCMental Health Counselor Mocksville, NC NPI 1588033260

Other federally qualified health center (fqhc) providers in Mocksville

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NPI record

NPI: 1255065835
Entity type: Organization (Type 2)
Issued: Jul 11, 2022
Last updated: Jul 11, 2022
Status: Active
Subpart: Yes of Gaston Family Health Services, Inc.

Other names

Kintegra at Central Davie Academy · 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 1255065835

Gaston Family Health Services, Inc.'s National Provider Identifier is 1255065835, issued on Jul 11, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mocksville, NC. The record was last updated on Jul 11, 2022.