| Gaston Family Health Services, Inc. | |
|
858 2nd St Ne Hickory NC 28601-3877 | |
| (704) 874-9005 | |
| Not Available |
| Full Name | Gaston Family Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 858 2nd St Ne, Hickory, 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. 858 2nd St Ne Hickory NC 28601-3877 Ph: (704) 874-9005 |
| NPI Number | 1467123091 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 09/23/2021 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20220118002681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467123091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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