| Gaston Family Health Services, Inc. | |
|
1215 N. Cameron Ave. Winston-salem NC 27101-1816 | |
| (336) 703-6737 | |
| (336) 713-7183 |
| Full Name | Gaston Family Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1215 N. Cameron Ave., Winston-salem, North Carolina |
| Authorized Official Name and Position | Sharmila Anderson (BUSINESS SERVICES ADMINISTRATOR) |
| Authorized Official Contact | 7048741907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaston Family Health Services, Inc. 200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1904 | Gaston Family Health Services, Inc. 1215 N. Cameron Ave. Winston-salem NC 27101-1816 Ph: (336) 703-6737 |
| NPI Number | 1487800892 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 01/15/2020 |
| Certification Date | 01/15/2020 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20170310001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487800892 | NPI | - | NPPES |
| 6005803 | Medicaid | NC |
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