Gaston Family Health Services, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

GASTON FAMILY HEALTH SERVICES, INC.

Doing business as

Kintegra at Catawba Rosenwald Education Center

Practice address

403 6TH Ave SW
Catawba, NC 28609-7811

Phone

(828) 241-2734

Fax

(828) 241-4999

NPI assigned

Jul 7, 2021

Last updated

Jul 7, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

GASTON FAMILY HEALTH SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Sharmila Alexander Anderson

Title

Medical Billing & Coding Supervisor

Phone

(704) 874-1907

Specialties & licenses 1

Addresses

Other names 1

• Kintegra at Catawba Rosenwald Education Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700457157. Details of each certification follow.

• CCN 861841 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 861841

Legal name

GASTON FAMILY HEALTH SERVICES INC

Doing business as

KINTEGRA AT CATAWBA ROSENWALD EDUCATION CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 12, 2021

Last certification

Nov 12, 2021

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 28, 1991 in NC

Enrollment address

403 6TH Ave SW
Catawba, NC 28609-7811

Part of

Gaston Family Health SE

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kristin Hayes Monza, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1437692035

  Corporate Director

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaymie Lyn Rowe, LMFT

  • Marriage & Family Therapist
  • Catawba, NC
  • NPI 1639594765
  NPD

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1700457157",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 6TH AVE SW",
            "city": "CATAWBA",
            "state": "NC",
            "postal_code": "286097811",
            "telephone_number": "828-241-2734",
            "fax_number": "828-241-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON FAMILY HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTON FAMILY HEALTH SERVICES, INC.",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHARMILA",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEDICAL BILLING & CODING SUPERVISOR",
        "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 Catawba Rosenwald Education Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandi Blevins, MA, CCC-SLP
• Catawba County Office of Accountant (Family NET of Catawba County)
• Catawba Valley Medical Group, Inc (Catawba Valley Family Care - Catawba)
• Gaston Family Health Services, Inc (Kintegra at Catawba Elementary)
• Gaston Family Health Services, Inc. (Kintegra at Bandys High)
• Healthstat on-Site Clinic
• Mary S Hudson
• John Edward Latz Jr., M.D.
• McRank and Company Hauling LLC
• Medicap Pharmacy of Catawba,LLC (HealthSmart Pharmacy-Catawba)

• Federally Qualified Health Center (FQHC) in Catawba, NC
• Providers in Catawba, NC by specialty
• Federally Qualified Health Center (FQHC) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.