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GASTON FAMILY HEALTH SERVICES, INC.

Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.

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Contact Information

GASTON FAMILY HEALTH SERVICES, INC.
4555 OGBURN AVE
WINSTON-SALEM, NC  27105-2726
 Phone: 336-703-4273
 Fax: 336-661-4954
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

 261QF0400X B4[14] Federally Qualified Health Center
 

Student Health

 261QS1000X
Indicates primary specialty

NPI Profile & details for GASTON FAMILY HEALTH SERVICES, INC.

NPI # 1154453496
LBN Legal business name GASTON FAMILY HEALTH SERVICES, INC.
Authorized official SHARMILA ANDERSON - (BUSINESS SERVICES ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/12/2007
Last updated 01/15/2020 - About 6 years ago
Identifiers
NC Medicaid 8701701
NC Medicaid 89011N0
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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