DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GASTON FAMILY HEALTH SERVICES, INC.

MEDICARE: GASTON FAMILY HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1611963200OTHERNCBLACK LUNG PROGRAM
20136XOTHERNCBLUE CROSS NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215932215
Entity Type Code : Organization
Provider Name (Legal Business Name) : GASTON FAMILY HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 200 E 2ND AVE
Second Line :
City : GASTONIA
State : NC
Zip : 28052-4358
Country : US
Telephone Number : 704-874-1904
Fax Number :
Provider Business Practice Location Address
First Line : 991 WEST HUDSON BOULEVARD
Second Line :
City : GASTONIA
State : NC
Zip : 28052-6430
Country : US
Telephone Number : 704-853-5079
Fax Number :
Authorized Official
Title or Position : BUSINESS SERVICE ADMINISTRATOR
Name : SHARMILA ALEXANDER ANDERSON
Credential :
Telephone Number : 704-874-1907
Provider Enumeration Date : 06/16/2005
Last Update Date : 01/15/2020

Similar Medicare Providers

1295731271 — AREGAI ABAY GIRMAY MD
Practice Location Address:
991 W HUDSON BLVD
GASTONIA, NC
28052-6430
Practice Phone: 704-853-5079
Practice Fax: 704-853-5269
1801892807 — MARTINE ELIZABETH WURST PA-C
Practice Location Address:
991 W HUDSON BLVD
GASTONIA, NC
28052-6430
Practice Phone: 704-852-5294
Practice Fax: 704-862-5383
1518963594 — EUGENE REYNOLDS II MD
Practice Location Address:
991 W HUDSON BLVD
GASTONIA, NC
28052-6430
Practice Phone: 704-852-5294
Practice Fax: 704-853-5269
1255337150 — KELLY RACHELLE ZUKAITIS DDS
Practice Location Address:
991 W HUDSON BLVD
GASTONIA, NC
28052-6430
Practice Phone: 704-852-5294
Practice Fax: 704-853-5269
1932194503 — MS. MICHELE MARIA JARBEAU PA
Practice Location Address:
991 W HUDSON BLVD
GASTONIA, NC
28052-6430
Practice Phone: 704-853-5079
Practice Fax: 704-853-5269
1588650097 — JOSE R DE JESUS DMD
Practice Location Address:
991 W HUDSON BLVD
GASTONIA, NC
28052-6430
Practice Phone: 704-853-5191
Practice Fax:

Directions to “GASTON FAMILY HEALTH SERVICES, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.