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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)

General Provider Information

NPI Number : 1730938515
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 : 704-874-1900
Fax Number :
Provider Business Practice Location Address
First Line : 3950 W FRANKLIN BLVD
Second Line :
City : GASTONIA
State : NC
Zip : 28052-9495
Country : US
Telephone Number : 704-874-9005
Fax Number :
Authorized Official
Title or Position : REVENUE CYCLE
Name : SHARMILA ALEXANDER ANDERSON
Credential :
Telephone Number : 704-874-1907
Provider Enumeration Date : 05/15/2024
Last Update Date : 05/15/2024

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

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