Kintegra/Sha At Ashley Wellness Center
LBN: Gaston Family Health Services, Inc.
Kintegra/Sha At Ashley Wellness Center is an health care organization with primary practice located at 1647 Ne Ashley School Circle , Winston-Salem NC 27105-5444. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Student Health. 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 (336) 703-4205, or through Anderson, Sharmila via phone (704) 874-1907.
Contact Information
Primary practice address
1647 Ne Ashley School Circle
Winston-Salem NC 27105-5444
Phone: (336) 703-4205
Fax: (336) 245-4592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | ||
| Ambulatory Health Care Facilities / Student Health | 261QS1000X | North Carolina |
Profile Details
| NPI number | 1578719886 |
|---|---|
| LBN Legal business name | Gaston Family Health Services, Inc. |
| DBA Doing business as | Kintegra/Sha At Ashley Wellness Center |
| Authorized official | Anderson, Sharmila |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Oct 1st, 2020 - about 4 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 | 1578719886 | NPPES |
| North Carolina | MEDICAID | 6005802 |
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