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.
1647 NE ASHLEY SCHOOL CIRCLE
WINSTON-SALEM, NC27105-5444
Phone: 336-703-4205
Fax: 336-245-4592
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 1578719886
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 10/01/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 6005802

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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