National Provider Identifier Database

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.


Contact Information

GASTON FAMILY HEALTH SERVICES, INC.
1215 N. CAMERON AVE.
WINSTON-SALEM, NC27101-1816
Phone: 336-703-6737
Fax: 336-713-7183
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Adolescent and Children Mental Health 261QM0855X
Student Health 261QS1000X

* Indicates primary specialty

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

NPI Number 1487800892
Legal business name
LBN
GASTON FAMILY HEALTH SERVICES, INC.
Authorized official SHARMILA ANDERSON - (BUSINESS SERVICES ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 08/18/2008
Last updated 01/15/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 6005803

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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