Gaston Family Health Services, Inc.

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

NPI 1700593233 · NPPES record last updated Nov 3, 2022

Key facts

NPI
1700593233
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
GASTON FAMILY HEALTH SERVICES, INC.
Practice address
215 Shady Grove Rd
Lawndale, NC 28090-8254
Phone
(704) 476-8223
Fax
(704) 538-3944
NPI assigned
Nov 3, 2022
Organization subpart
Yes
Parent organization (as reported)
GASTON FAMILY HEALTH SERVICES, INC.

Authorized official

Name
Sharmila Alexander Anderson
Title
Medical Billing & Coding 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

Specialties & licenses

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

Addresses

Primary practice location

215 Shady Grove Rd
Lawndale, NC 28090-8254

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358

Other names

  • Kintegra at Burns Middle Doing business as

Other providers in Lawndale, NC

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

Sources for this page

Verify at the official NPI Registry.