| Gaston Family Health Services, Inc. | |
|
119 E 2nd Ave Gastonia NC 28052-4370 | |
| (704) 853-2428 | |
| (704) 235-1785 |
| Full Name | Gaston Family Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 119 E 2nd Ave, Gastonia, 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: (704) 874-1904 | Gaston Family Health Services, Inc. 119 E 2nd Ave Gastonia NC 28052-4370 Ph: (704) 853-2428 |
| NPI Number | 1922730142 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20221025002242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922730142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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