GASTON FAMILY HEALTH SERVICES (NPI# 1932387719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932387719 |
| Entity Type | Organization |
| Organization Name | GASTON FAMILY HEALTH SERVICES |
| Other Organization Name | OPEN DOOR DENTISTRY |
| Practice Address |
991 West Hudson Blvd Gastonia NC 28052 |
| Practice Telephone | 7048535191 |
| Practice Fax Number | 7048535131 |
| Mailing Telephone | 7048535191 |
| Mailing Fax Number | 7048535131 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2011-08-17 |
| Authorized Official Name | MR. ROBERT E MARTIN (CFO) |
| Authorized Official Telephone | 7048743313 |
| Is Organization Subpart | Y |
| Parent Organization Name | GASTON FAMILY HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Open Door Dentistry | Doing Business As Name - Organization |
| Street Address |
991 WEST HUDSON BLVD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912090770 | Brian Mitchel Lackey | Registered Nurse | 991 West Hudson Blvd, Gastonia, NC 28052 | 2006-10-02 |
| 1679737894 | Scott Allan Patton | Registered Nurse | 991 West Hudson Blvd, Gastonia, NC 28052-0000 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859488 | Aa Plus Family Care Services, LLC | Custodial Care Facility | 190- B South Street, Gastonia, NC 28052 | 2017-02-06 |
| 1487028098 | Stefanie Mann | Counselor | 165 West Franklin Blvd., Gastonia, NC 28052 | 2015-11-19 |
| 1659771343 | Latisha Marsh | Pharmacist | 233 North Myrtle School, Gastonia, NC 28052 | 2014-08-29 |
| 1730598616 | Erin Flitt | Nurse Practitioner | 425 North Marietta Street, Gastoni, NC 28052 | 2014-08-05 |
| 1568877199 | Ebony Kyerra Kennedy | Pharmacist | 2206 West Franklin Blvd, Gastonia, NC 28052 | 2014-06-23 |
| 1821364209 | Harcharan Singh | Ophthalmology | 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 | 2012-03-29 |
| 1437475365 | Evelyn B Mcgill | Counselor | 102 N Yates Street, Gastonia, NC 28052 | 2010-04-16 |
| 1568696680 | Fafli Inc | Community/Behavioral Health | 175 W. Main Avenue, Gaston County, NC 28052 | 2009-05-04 |
| 1558570630 | Peggy May Currie | Physical Therapist | 710 Marietta St., Suite B, Gastonia, NC 28052 | 2007-05-22 |
| 1275753352 | John Theodore Fox | Dentist | 601 S York St, Gastonia, NC 28052 | 2007-04-30 |
| Find all providers in zip 28052 | ||||
| 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 |
|---|---|---|---|---|
| 1164084562 | Gaston Family Health Services, Inc. | Clinic/Center | 1027 Woodhill Dr, Gastonia, NC 28054-2466 | 2019-07-05 |
| 1275195679 | Gaston Family Health Services, Inc. | Clinic/Center | 200 Davis Park Rd, Gastonia, NC 28052-0116 | 2019-07-05 |
| 1215932215 | Gaston Family Health Services, Inc. | Clinic/Center | 991 West Hudson Boulevard, Gastonia, NC 28052-6430 | 2005-06-16 |
| 1992335145 | Gaston Family Health Services, Inc | Clinic/Center | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2020-01-16 |
| 1962069534 | Gaston Family Health Services, Inc. | Clinic/Center | 620 Summit Crossing Pl, Gastonia, NC 28054-2176 | 2019-05-20 |
| 1942867510 | Gaston Family Health Services, Inc. | Clinic/Center | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2019-05-20 |
| 1124589353 | Gaston Family Health Services, Inc. | Clinic/Center | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2019-03-29 |
| 1114322922 | Gaston Family Health Services, Inc | Clinic/Center | 409 S Oakland St, Gastonia, NC 28052-4312 | 2014-10-23 |
| 1205251766 | Gaston Family Health Services, Inc. | Clinic/Center | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2014-02-20 |
| 1548389125 | Gaston Family Health Services, Inc. | Clinic/Center | 111 E 3rd Ave, Gastonia, NC 28052-4343 | 2007-03-28 |
| Find all providers in GASTONIA | ||||
Please comment or provide details below to improve the information on GASTON FAMILY HEALTH SERVICES.
| 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.