Gaston Family Health Services, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Boonville, NC
NPI 1992489314 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1992489314
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- GASTON FAMILY HEALTH SERVICES, INC.
- Practice address
- 2626 Longtown Rd
Boonville, NC 27011-8864 - Phone
- (336) 551-1160
- Fax
- (336) 551-1159
- 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) 13
Practitioners 3
-
Kacey Victoria Cleary, LCSWA
-
Susan H. Ward, LCMHC
-
Maegan Abigail Gillis, LCMHC
National Provider Directory
- Tax ID family
- Gaston Family Health SE
- Part of
- Gaston Family Health SE
Locations
2626 Longtown Rd
Boonville, NC 27011
Phone (336) 551-1160
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2626 Longtown Rd
Boonville, NC 27011-8864
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Other names
- Kintegra at Starmount Middle
Other providers in Boonville, NC
- County of Yadkin Office of Treasurer
- Linda Ferguson
- Foothills Behavioral Health
- Holly Ann Foster
- Gaston Family Health Services, Inc.
- Maegan Abigail Gillis
- Healthstat Onsite Clinic Parkdale Plant 25
- Donald Morgan
- Quality Care Senior Services, Inc.
- Walden Associates Inc
All providers in Boonville, NC · Federally Qualified Health Center (FQHC) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.