Organization · Type 2 NPI

Gaston Family Health Services, Inc.

Federally Qualified Health Center (FQHC) · Mocksville, NC

NPI number 1366088957 Active

Practice location

497 Farmington Rd
Mocksville, NC 27028-7639

Call (336) 998-5555 Map

Fax (336) 998-7233

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

Samantha Bryanna-Norabuena BahenaClinical Social Worker Mocksville, NC NPI 1477370757

Other federally qualified health center (fqhc) providers in Mocksville

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NPI record

NPI: 1366088957
Entity type: Organization (Type 2)
Issued: Nov 19, 2019
Last updated: Dec 20, 2019
Status: Active
Subpart: Yes of Gaston Family Health Services, Inc.

Other names

<unavail>
Kintegra at North Davie Middle · doing business as

Authorized official

Sharmila Alexander Anderson
Business Services Administrator
(704) 874-1907

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About NPI 1366088957

Gaston Family Health Services, Inc.'s National Provider Identifier is 1366088957, issued on Nov 19, 2019. 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 Dec 20, 2019.