Kintegra Family Medicine - 3Rd Ave

LBN: Gaston Family Health Services, Inc.
Kintegra Family Medicine - 3Rd Ave is an health care organization with primary practice located at 111 E 3Rd Ave , Gastonia NC 28052-4343. 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) 874-3300, or through Anderson, Sharmila Alexander via phone (704) 874-1907.

Contact Information

Primary practice address
111 E 3Rd Ave Gastonia NC 28052-4343
Fax: (704) 874-0065
Website:
Authorized official contact:
Name: Anderson, Sharmila Alexander

Health care specialties

Profile Details

NPI number 1548389125
LBN Legal business name Gaston Family Health Services, Inc.
DBA Doing business as Kintegra Family Medicine - 3Rd Ave
Authorized official Anderson, Sharmila Alexander
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jul 28th, 2020 - about 6 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 1548389125 NPPES
North Carolina Other 34D1048048 CLIA WAIVER
North Carolina Other 0136X CLIA WAIVER

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