GASTON FAMILY HEALTH SERVICES, INC (NPI# 1437586302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437586302 |
| Entity Type | Organization |
| Organization Name | GASTON FAMILY HEALTH SERVICES, INC |
| Other Organization Name | KINTEGRA FAMILY MEDICINE - HICKORY |
| Practice Address |
133 1st Ave Se Hickory NC 28602-3005 |
| Mailing Address |
200 E Second Ave Gastonia NC 28052-4358 |
| Practice Telephone | 8289944544 |
| Practice Fax Number | 8286240546 |
| Mailing Telephone | 7048741904 |
| Mailing Fax Number | 7048672134 |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2020-10-05 |
| 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 |
|---|---|
| Catawba Family Care | Doing Business As Name - Organization |
| Kintegra Family Medicine - Hickory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316577406 | Gaston Family Health Services, Inc | Clinic/Center | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2020-01-17 |
| 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 |
| Street Address |
133 1ST AVE SE |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614564 | South Park Medical Clinic Pa | Family Medicine | 133 1st Ave Se, Hickory, NC 28602-3005 | 2005-07-27 |
| 1871080572 | Sarah Dergins | Social Worker | 133 1st Ave Se, Hickory, NC 28602 | 2018-04-18 |
| 1750885745 | Sharon Parker | Counselor | 133 1st Ave Se, Hickory, NC 28602-3005 | 2018-03-22 |
| 1194250845 | Brandie Terifaj | Social Worker | 133 1st Ave Se, Hickory, NC 28602-3005 | 2017-05-01 |
| 1831590280 | Sylvia Vang | Social Worker | 133 1st Ave Se, Hickory, NC 28602-3005 | 2014-09-04 |
| 1659703395 | Llewellyn Fiifi Mensah | Family Medicine | 133 1st Ave Se, Hickory, NC 28602-3005 | 2013-08-05 |
| 1275859282 | Valarie Crisp Summerow | Nurse Practitioner | 133 1st Ave Se, Hickory, NC 28602-3005 | 2010-04-15 |
| 1952315228 | Joan L Olschewske | Family Medicine | 133 1st Ave Se, Hickory, NC 28602-3005 | 2006-07-29 |
| 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 |
| 1124636873 | Gaston Family Health Services, Inc. | Clinic/Center | 451 Catawba Valley Blvd, Hickory, NC 28602-9631 | 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 |
| 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.