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Gaston Family Health Services, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Collettsville, NC

NPI 1083501209 · NPPES record last updated Jun 20, 2025

Key facts

NPI
1083501209
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
GASTON FAMILY HEALTH SERVICES, INC
Practice address
4330 Collettsville Rd
Collettsville, NC 28611-9000
Phone
(704) 874-1900
NPI assigned
Jun 20, 2025
Organization subpart
Yes
Parent organization (as reported)
GASTON FAMILY HEALTH SERVICES, INC

Authorized official

Name
Sharmila Alexander Anderson
Title
Business Collab Manager
Phone
(704) 874-1907

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0247013Kintegra Family Medicine - Collettsville
4330 Collettsville Road, Collettsville, NC 28611		Certificate of waiverDec 29, 2027

National Provider Directory

Tax ID family
Gaston Family Health SE (255 organizations share this tax ID)
Part of
Gaston Family Health SE

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

4330 Collettsville Rd
Collettsville, NC 28611-9000

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900

Other names

  • Kintegra Family Medicine - Collettsville Doing business as

Other providers in Collettsville, NC

All providers in Collettsville, NC · Federally Qualified Health Center (FQHC) in North Carolina

Sources for this page

Verify at the official NPI Registry.