| Gaston Family Health Services, Inc. | |
|
812 W King St Kings Mountain NC 28086-2748 | |
| (704) 739-5456 | |
| Not Available |
| Full Name | Gaston Family Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 812 W King St, Kings Mountain, 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. 812 W King St Kings Mountain NC 28086-2748 Ph: (704) 739-5456 |
| NPI Number | 1861147829 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20220609001879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861147829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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