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119 West Pennsylvania Avenue Bessemer City NC 28016-2635 | |
| (704) 629-3465 | |
| (704) 629-1355 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 119 West Pennsylvania Avenue, Bessemer City, North Carolina |
| Authorized Official Name and Position | Sharmila Alexander Anderson (BUSINESS SERVICE ADMIN) |
| Authorized Official Contact | 7048741900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1904 | 119 West Pennsylvania Avenue Bessemer City NC 28016-2635 Ph: (704) 629-3465 |
| NPI Number | 1003935750 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003935750 | NPI | - | NPPES |
| 8700322 | Medicaid | NC | |
| 344580C | Medicaid | NC | |
| 0136X | Other | NC | BLUE CROSS NUMBER |
| NPB242 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Yellow Jacket Ln, Bessemer City, NC 28016 Phone: 704-874-9005 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 E Virginia Ave, Bessemer City, NC 28016 Phone: 704-629-3465 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Ed Wilson Rd, Bessemer City, NC 28016 Phone: 704-874-9005 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Puetts Chapel Rd, Bessemer City, NC 28016 Phone: 704-874-9005 |