GASTON FAMILY HEALTH SERVICES INC NPI 1326235821

NPI Information

NPI: 1326235821
Provider Name: GASTON FAMILY HEALTH SERVICES INC

Doing Business As: KINTEGRA FAMILY MEDICINE - STATESVILLE

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1022 SHELTON AVE
STATESVILLE, NC
ZIP 28677
Phone: (704) 838-1234
Get Directions

GASTON FAMILY HEALTH SERVICES INC is a federally qualified health center (fqhc) clinic center in Statesville, NC. GASTON FAMILY HEALTH SERVICES INC NPI is 1326235821. The provider is registered as an organization entity type.
The provider Is Doing Business As Kintegra Family Medicine - Statesville.

The provider's business location address is:

1022 SHELTON AVE
STATESVILLE, NC
ZIP 28677-826
Phone: (704) 838-1234
Fax: (704) 768-2081

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

The enumeration date for this NPI number is 9/28/2007 and was last updated on 2/1/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0497686	MEDICAID	NORTH CAROLINA
2	3409807	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

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

NPI Synchronization or Removal

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