GASTON FAMILY HEALTH SERVICES, INC. (NPI# 1124636873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124636873 |
| Entity Type | Organization |
| Organization Name | GASTON FAMILY HEALTH SERVICES, INC. |
| Other Organization Name | KINTEGRA AT GRANDVIEW MIDDLE |
| Practice Address |
451 Catawba Valley Blvd Hickory NC 28602-9631 |
| Mailing Address |
200 E 2nd Ave Gastonia NC 28052-4358 |
| Practice Telephone | 8283282289 |
| Mailing Telephone | 7048741900 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | SHARMILA ALEXANDER ANDERSON (BUSINESS SERVICES ADMINISTRATOR) |
| Authorized Official Telephone | 7048741907 |
| Is Organization Subpart | Y |
| Parent Organization Name | GASTON FAMILY HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kintegra at Grandview Middle | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842178 | Gaston Family Health Services, Inc. | Clinic/Center | 144 William Ellis Dr, Advance, NC 27006-7990 | 2020-08-21 |
| 1851909444 | Gaston Family Health Services, Inc. | Clinic/Center | 302 28th Ave Ne, Hickory, NC 28601-1116 | 2020-07-20 |
| 1750999496 | Gaston Family Health Services, Inc. | Clinic/Center | 180 War Eagle Dr, Mocksville, NC 27028-6151 | 2020-07-20 |
| 1518575265 | Gaston Family Health Services, Inc. | Clinic/Center | 4675 Oxford School Rd, Claremont, NC 28610-9468 | 2020-07-20 |
| 1093323099 | Gaston Family Health Services, Inc. | Clinic/Center | 5040 E Bandys Xrd, Catawba, NC 28609-8075 | 2020-07-16 |
| 1366088957 | Gaston Family Health Services, Inc. | Clinic/Center | 497 Farmington Rd, Mocksville, NC 27028-7639 | 2019-11-19 |
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1306481957 | Gaston Family Health Services, Inc. | Clinic/Center | 3407 Plateau Rd, Newton, NC 28658-8809 | 2019-11-07 |
| 1457913857 | Gaston Family Health Services, Inc. | Clinic/Center | 210 School St, Belmont, NC 28012-2123 | 2019-07-05 |
| 1164084562 | Gaston Family Health Services, Inc. | Clinic/Center | 1027 Woodhill Dr, Gastonia, NC 28054-2466 | 2019-07-05 |
| Street Address |
451 CATAWBA VALLEY BLVD |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-9631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909444 | Gaston Family Health Services, Inc. | Clinic/Center | 302 28th Ave Ne, Hickory, NC 28601-1116 | 2020-07-20 |
| 1184284754 | Gaston Family Health Services, Inc. | Clinic/Center | 21 16th Ave Nw, Hickory, NC 28601-2533 | 2019-06-17 |
| 1013577675 | Gaston Family Health Services, Inc. | Clinic/Center | 1580 32nd St Sw, Hickory, NC 28602-4633 | 2019-06-17 |
| 1972163848 | Gaston Family Health Services, Inc. | Clinic/Center | 737 12th St Sw, Hickory, NC 28602-3120 | 2019-06-13 |
| 1477161115 | Gaston Family Health Services, Inc. | Clinic/Center | 409 8th Ave Ne, Hickory, NC 28601-3943 | 2020-07-20 |
| 1679181317 | Gaston Family Health Services, Inc. | Clinic/Center | 1234 3rd St Ne, Hickory, NC 28601-2605 | 2020-07-20 |
| 1538709100 | Gaston Family Health Services, Inc | Clinic/Center | 3070 11th Avenue Dr Se, Hickory, NC 28602-8336 | 2020-01-13 |
| 1679118228 | Gaston Family Health Services, Inc. | Clinic/Center | 3205 34th Street Dr Ne, Hickory, NC 28601-7702 | 2019-11-07 |
| 1780244376 | Gaston Family Health Services, Inc. | Clinic/Center | 3750 N Center St, Hickory, NC 28601-8089 | 2019-06-17 |
| 1700446663 | Gaston Family Health Services, Inc. | Clinic/Center | 366 4th St Nw, Hickory, NC 28601-4920 | 2019-06-13 |
| Find all providers in HICKORY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.