GASTON FAMILY HEALTH SERVICES INC. NPI 1710549118

NPI Information

NPI: 1710549118
Provider Name: GASTON FAMILY HEALTH SERVICES, INC.

Doing Business As: KINTEGRA AT TRYON ELEMENTARY

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2620 TRYON COURTHOUSE RD
BESSEMER CITY, NC
ZIP 28016
Phone: (704) 836-9107
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GASTON FAMILY HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Bessemer City, NC. GASTON FAMILY HEALTH SERVICES, INC. NPI is 1710549118. The provider is registered as an organization entity type.
The provider Is Doing Business As Kintegra At Tryon Elementary.

The provider's business location address is:

2620 TRYON COURTHOUSE RD
BESSEMER CITY, NC
ZIP 28016-646
Phone: (704) 836-9107

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 CLIA number assigned to this NPI record is 34D1048047 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2019 and was last updated on 1/16/2020.

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 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

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