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Gaston Family Health Services, Inc.

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

NPI 1104500701 · NPPES record last updated Jun 14, 2023

Key facts

NPI
1104500701
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
GASTON FAMILY HEALTH SERVICES, INC.
Practice address
101 Cedarbrook Rd
Jonesville, NC 28642-2405
Phone
(336) 551-1148
Fax
(336) 551-1149
NPI assigned
Jun 14, 2023
Organization subpart
Yes
Parent organization (as reported)
GASTON FAMILY HEALTH SERVICES, INC.

Authorized official

Name
Sharmila Alexander Anderson
Title
Revenue Cycle Manager
Phone
(704) 874-1907

Corporate family (same tax ID) 24

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

Practitioners 1

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

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

101 Cedarbrook Rd
Jonesville, NC 28642-2405

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358

Other names

  • Kintegra at Jonesville Elementary Doing business as

Other providers in Jonesville, NC

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

Sources for this page

Verify at the official NPI Registry.