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Gaston Family Health Services, Inc.

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

NPI 1609554351 · NPPES record last updated Jul 11, 2023

Key facts

NPI
1609554351
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
GASTON FAMILY HEALTH SERVICES, INC.
Practice address
353 Old Loop Rd
Dallas, NC 28034-9795
Phone
(704) 922-3522
Fax
(704) 922-7503
NPI assigned
Jul 11, 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 2

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

353 Old NC 277 Loop Rd
Dallas, NC 28034
Phone (704) 922-3522

Specialties & licenses

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

Addresses

Primary practice location

353 Old Loop Rd
Dallas, NC 28034-9795

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358

Other names

  • Kintegra at Costner Elementary Doing business as

Other providers in Dallas, NC

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

Sources for this page

Verify at the official NPI Registry.