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GASTON FAMILY HEALTH SERVICES INC. NPI 1699346965


NPI Information

NPI: 1699346965
Provider Name: GASTON FAMILY HEALTH SERVICES, INC.

Doing Business As: KINTEGRA AT CORNATZER ELEMENTARY

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
529 CORNATZER RD
MOCKSVILLE, NC
ZIP 27028
Phone: (336) 940-5097
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GASTON FAMILY HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Mocksville, NC. GASTON FAMILY HEALTH SERVICES, INC. NPI is 1699346965. The provider is registered as an organization entity type.
The provider Is Doing Business As Kintegra At Cornatzer Elementary.

The provider's business location address is:

529 CORNATZER RD
MOCKSVILLE, NC
ZIP 27028-129
Phone: (336) 940-5097
Fax: (336) 940-5647

The provider's authorized official is Sharmila Alexander Anderson .
The authorized official title is Medical Coding & Billing Supervisor and has the following contact phone number (704) 874-1907.

The enumeration date for this NPI number is 7/7/2021 and was last updated on 8/3/2021.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 5/5/2024

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.