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GASTON FAMILY HEALTH SERVICES INC. NPI 1487800892


NPI Information

NPI: 1487800892
Provider Name: GASTON FAMILY HEALTH SERVICES, INC.

Doing Business As: GFHS WSPA WELLNESS CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1215 N. CAMERON AVE.
WINSTON-SALEM, NC
ZIP 27101
Phone: (336) 703-6737
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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 1487800892. The provider is registered as an organization entity type.
The provider Is Doing Business As Gfhs Wspa Wellness Center.

The provider's business location address is:

1215 N. CAMERON AVE.
WINSTON-SALEM, NC
ZIP 27101-816
Phone: (336) 703-6737
Fax: (336) 713-7183

The provider's authorized official is Sharmila 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 8/18/2008 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
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QS1000XClinic/CenterStudent HealthNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16005803MEDICAIDNORTH CAROLINA

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

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