| Kintegra Family Medicine - Highland | |
|
609 N Highland St Gastonia NC 28052-2179 | |
| (704) 772-4700 | |
| (704) 833-1553 |
| Full Name | Kintegra Family Medicine - Highland |
|---|---|
| Speciality | Clinic/Center |
| Location | 609 N Highland St, Gastonia, North Carolina |
| Authorized Official Name and Position | Sharmila Alexander Anderson (BUSINESS SERVICE ADMIN) |
| Authorized Official Contact | 7048741907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kintegra Family Medicine - Highland 200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1904 | Kintegra Family Medicine - Highland 609 N Highland St Gastonia NC 28052-2179 Ph: (704) 772-4700 |
| NPI Number | 1174767073 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 02/01/2021 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20090714000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174767073 | NPI | - | NPPES |
| 3420154 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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