Organization · Type 2 NPI

Gaston Family Health Services, Inc.

Federally Qualified Health Center (FQHC) · Burlington, NC

NPI number 1508632035 Active

Practice location

5806 Pagetown Rd
Burlington, NC 27217

Call (704) 874-9005 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...

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NPI record

NPI: 1508632035
Entity type: Organization (Type 2)
Issued: Nov 27, 2023
Last updated: Nov 27, 2023
Status: Active
Subpart: Yes of Gaston Family Health Services, Inc.

Other names

Kintegra at Clover Garden · 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 1508632035

Gaston Family Health Services, Inc.'s National Provider Identifier is 1508632035, issued on Nov 27, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Burlington, NC. The record was last updated on Nov 27, 2023.