Organization · Type 2 NPI

Gaston Family Health Services, Inc.

Federally Qualified Health Center (FQHC) · Dallas, NC

NPI number 1609554351 Active

Practice location

353 Old Loop Rd
Dallas, NC 28034-9795

Call (704) 922-3522 Map

Fax (704) 922-7503

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: 1609554351
Entity type: Organization (Type 2)
Issued: Jul 11, 2023
Last updated: Jul 11, 2023
Status: Active
Subpart: Yes of Gaston Family Health Services, Inc.

Other names

Kintegra at Costner Elementary · 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 1609554351

Gaston Family Health Services, Inc.'s National Provider Identifier is 1609554351, issued on Jul 11, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Dallas, NC. The record was last updated on Jul 11, 2023.