Gastonia Cornerstone Christian Center Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6106324 Issued in NC

Legal business name

GASTONIA CORNERSTONE CHRISTIAN CENTER INC.

Practice address

400 E 5TH Ave
Gastonia, NC 28054-0441

Phone

(704) 867-8749

Fax

(704) 869-8892

NPI assigned

Apr 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David L. Fogle

Title

Executive Director

Phone

(704) 867-8749

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa I Moose, LC SW

  • Clinical Social Worker
  • Gastonia, NC
  • NPI 1245276385
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1053553008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2074",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280532074",
            "telephone_number": "704-867-8749",
            "fax_number": "704-869-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 5TH AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540441",
            "telephone_number": "704-867-8749",
            "fax_number": "704-869-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTONIA CORNERSTONE CHRISTIAN CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-867-8749"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "6106324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301639B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaston Urological Associates, P.a.
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• Gaston-Limcon-Cleveland Mental Health
• Gaston-Lincoln-Cleveland Mental Health Substance Abuse DD
• Gastonia Children'S Clinic, P.a.
• Gastonia Cornerstone Christian Center, Inc.
• Gastonia Family Dentistry
• Gastonia Health & Rehab Center, LLC
• Gastonia Medical Specialty Clinic PA
• Gastonia Medical Specialty Clinic PA

• Community/Behavioral Health Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.