Organization · Type 2 NPI

Gaston Family Health Services, Inc.

Federally Qualified Health Center (FQHC) · Gastonia, NC

NPI number 1457086498 Active

Practice location

1260 Floyd Ln
Gastonia, NC 28052-5444

Call (704) 866-6096 Map

Fax (980) 888-0323

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

Raven Ayanna BanksClinical Social Worker Gastonia, NC NPI 1407746944

Other federally qualified health center (fqhc) providers in Gastonia

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NPI record

NPI: 1457086498
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 Pleasant Ridge Elementary · 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 1457086498

Gaston Family Health Services, Inc.'s National Provider Identifier is 1457086498, issued on Jul 22, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Gastonia, NC. The record was last updated on Jul 22, 2022.