Kintegra Family Medicine - Hudson
LBN: Gaston Family Health Services, Inc.
Kintegra Family Medicine - Hudson is an health care organization with primary practice located at 991 West Hudson Boulevard , Gastonia NC 28052-6430. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Gaston Family Health Services, Inc. can be contacted via phone (704) 853-5079, or through Anderson, Sharmila Alexander via phone (704) 874-1907.
Contact Information
Primary practice address
991 West Hudson Boulevard
Gastonia NC 28052-6430
Phone: (704) 853-5079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1215932215 |
|---|---|
| LBN Legal business name | Gaston Family Health Services, Inc. |
| DBA Doing business as | Kintegra Family Medicine - Hudson |
| Authorized official | Anderson, Sharmila Alexander |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jan 15th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215932215 | NPPES |
| North Carolina | Other | 611963200 | BLACK LUNG PROGRAM |
| North Carolina | Other | 0136X | BLACK LUNG PROGRAM |
| North Carolina | MEDICAID | NPB239 | BLACK LUNG PROGRAM |
| North Carolina | MEDICAID | 344574A | BLACK LUNG PROGRAM |
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