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GASTON FAMILY HEALTH SERVICES INC. NPI 1801377106


NPI Information

NPI: 1801377106
Provider Name: GASTON FAMILY HEALTH SERVICES, INC.

Doing Business As: KINTEGRA/SHA AT NORTH FORSYTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
5705 SHATTALON DR
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 703-4273
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GASTON FAMILY HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Winston Salem, NC. GASTON FAMILY HEALTH SERVICES, INC. NPI is 1801377106. The provider is registered as an organization entity type.
The provider Is Doing Business As Kintegra/sha At North Forsyth.

The provider's business location address is:

5705 SHATTALON DR
WINSTON SALEM, NC
ZIP 27105-332
Phone: (336) 703-4273
Fax: (336) 661-4954

The provider's authorized official is Sharmila Alexander Anderson .
The authorized official title is Business Services Administrator and has the following contact phone number (704) 874-1907.

The enumeration date for this NPI number is 8/24/2018 and was last updated on 1/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes
2261QS1000XClinic/CenterStudent HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.