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Gaston Family Health Services, Inc

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

NPI 1124844576 · NPPES record last updated Dec 2, 2024

Key facts

NPI
1124844576
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
GASTON FAMILY HEALTH SERVICES, INC
Practice address
2361 Startown Rd
Lincolnton, NC 28092-9524
Phone
(704) 735-1120
Fax
(704) 732-6811
NPI assigned
Dec 2, 2024
Organization subpart
Yes
Parent organization (as reported)
GASTON FAMILY HEALTH SERVICES, INC

Authorized official

Name
Sharmila Alexander Anderson
Title
Rev 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 4

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

Locations

2361 Startown Rd
Lincolnton, NC 28092
Phone (704) 735-1120

Specialties & licenses

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

Addresses

Primary practice location

2361 Startown Rd
Lincolnton, NC 28092-9524

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-9005

Other names

  • Kintegra at Lincolnton Middle Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 2, 2024.

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1124844576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 STARTOWN RD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280929524",
            "telephone_number": "704-735-1120",
            "fax_number": "704-732-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON FAMILY HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTON FAMILY HEALTH SERVICES, INC",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHARMILA",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "REV CYCLE MANAGER",
        "authorized_official_telephone_number": "704-874-1907"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kintegra at Lincolnton Middle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnton, NC

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

Sources for this page

Verify at the official NPI Registry.