Kintegra Adult & Pediatric Medicine - Xray Dr

LBN: Gaston Family Health Services Inc
Kintegra Adult & Pediatric Medicine - Xray Dr is an health care organization with primary practice located at 2721 X Ray Dr , Gastonia NC 28054-7491. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Gaston Family Health Services Inc can be contacted via phone (704) 874-2255, or through Anderson, Sharmila Alexander via phone (704) 874-1907.

Contact Information

Primary practice address
2721 X Ray Dr Gastonia NC 28054-7491
Phone: (704) 874-2255
Fax: (704) 852-4092
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Sharmila Alexander
Phone: (704) 874-1907

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 13352 North Carolina

Profile Details

NPI number 1477079283
LBN Legal business name Gaston Family Health Services Inc
DBA Doing business as Kintegra Adult & Pediatric Medicine - Xray Dr
Authorized official Anderson, Sharmila Alexander
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 15th, 2017
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477079283 NPPES
North Carolina MEDICAID 1477079283
North Carolina Other 2171517

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