GASTON FAMILY HEALTH SERVICES INC. NPI 1114598497

NPI Information

NPI: 1114598497
Provider Name: GASTON FAMILY HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
197 S DAVIE DR
MOCKSVILLE, NC
ZIP 27028
Phone: (336) 751-5941
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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 1114598497. The provider is registered as an organization entity type.

The provider's business location address is:

197 S DAVIE DR
MOCKSVILLE, NC
ZIP 27028-927
Phone: (336) 751-5941
Fax: (336) 751-5656

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 7/7/2021.

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

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

NPI Synchronization or Removal

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