| Gaston Family Health Services, Inc. | |
|
1133 Ratchford Dr Dallas NC 28034-6500 | |
| (704) 922-5285 | |
| (704) 922-7486 |
| Full Name | Gaston Family Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1133 Ratchford Dr, Dallas, North Carolina |
| Authorized Official Name and Position | Sharmila Alexander Anderson (MEDICAL BILLING & CODING SUPERVISOR) |
| Authorized Official Contact | 7048741907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaston Family Health Services, Inc. 200 E 2nd Ave Gastonia NC 28052-4358 Ph: () - | Gaston Family Health Services, Inc. 1133 Ratchford Dr Dallas NC 28034-6500 Ph: (704) 922-5285 |
| NPI Number | 1194450130 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 07/22/2022 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20230213000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194450130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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