GASTON FAMILY HEALTH SERVICES, INC (NPI# 1316577406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316577406 |
| Entity Type | Organization |
| Organization Name | GASTON FAMILY HEALTH SERVICES, INC |
| Other Organization Name | KINTEGRA FAMILY DENTISTRY-STATESVILLE |
| Practice Address |
518 Brookdale Dr Statesville NC 28677-4108 |
| Mailing Address |
991 W Hudson Blvd Gastonia NC 28052-6430 |
| Practice Telephone | 7048381108 |
| Practice Fax Number | 7046711404 |
| Mailing Telephone | 7048381108 |
| Mailing Fax Number | 7046711404 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | SHARMILA ALEXANDER ANDERSON (BUSINESS SERVICE 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 Family Dentistry-Statesville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466398 | Gaston Family Health Services, Inc | Clinic/Center | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2020-01-17 |
| 1568092658 | Gaston Family Health Services, Inc | Clinic/Center | 111 Doctors Park, Lincolnton, NC 28092 | 2020-01-17 |
| 1992335145 | Gaston Family Health Services, Inc | Clinic/Center | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2020-01-16 |
| 1700426376 | Gaston Family Health Services, Inc | Clinic/Center | 100 Ridgeview Dr, Mocksville, NC 27028-2020 | 2020-01-13 |
| 1538709100 | Gaston Family Health Services, Inc | Clinic/Center | 3070 11th Avenue Dr Se, Hickory, NC 28602-8336 | 2020-01-13 |
| 1912547415 | Gaston Family Health Services, Inc | Clinic/Center | 766 Hartness Rd, Statesville, NC 28677-3425 | 2020-01-13 |
| 1053951756 | Gaston Family Health Services, Inc | Clinic/Center | 32 Kirkwood Ave, Lexington, NC 27292-4024 | 2020-01-10 |
| 1114322922 | Gaston Family Health Services, Inc | Clinic/Center | 409 S Oakland St, Gastonia, NC 28052-4312 | 2014-10-23 |
| 1437586302 | Gaston Family Health Services, Inc | Clinic/Center | 133 1st Ave Se, Hickory, NC 28602-3005 | 2013-10-08 |
| Street Address |
518 BROOKDALE DR |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528164324 | Omodele Julie Masha | Family Medicine | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2006-09-16 |
| 1205466398 | Gaston Family Health Services, Inc | Clinic/Center | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2020-01-17 |
| 1992156202 | Kendall Hankins Nagy | Nurse Practitioner | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2016-06-28 |
| 1699151852 | Brittney Cobb | Social Worker | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2015-08-10 |
| 1710237367 | Gaston Family Health Services, Inc. | Clinic/Center | 518 Brookdale Dr, Statesville, NC 28677 | 2012-09-11 |
| 1346566833 | Kathleen Marie Harknett | Pediatrics | 518 Brookdale Dr, Statesville, NC 28677 | 2010-04-09 |
| 1942452974 | Sharon Hollifield Bryan | Nurse Practitioner | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2008-10-22 |
| 1649420241 | Deyon A Mccalla | Dentist | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2008-09-19 |
| 1144432667 | Anita Emefa Kpodo | Pediatrics | 518 Brookdale Dr, Statesville, NC 28677 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| 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 |
|---|---|---|---|---|
| 1205466398 | Gaston Family Health Services, Inc | Clinic/Center | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2020-01-17 |
| 1912547415 | Gaston Family Health Services, Inc | Clinic/Center | 766 Hartness Rd, Statesville, NC 28677-3425 | 2020-01-13 |
| 1922661750 | Gaston Family Health Services, Inc. | Clinic/Center | 1703 Davie Ave, Statesville, NC 28677-3521 | 2019-04-17 |
| 1225599426 | Gaston Family Health Services, Inc. | Clinic/Center | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2019-03-29 |
| 1710237367 | Gaston Family Health Services, Inc. | Clinic/Center | 518 Brookdale Dr, Statesville, NC 28677 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799667 | Bakersville Community Medical Clinic, Inc | Clinic/Center | 71 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2020-10-30 |
| 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 |
| 1124636873 | Gaston Family Health Services, Inc. | Clinic/Center | 451 Catawba Valley Blvd, Hickory, NC 28602-9631 | 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 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
Please comment or provide details below to improve the information on GASTON FAMILY HEALTH SERVICES, INC.
| 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.