| Gaston Family Health Services, Inc. | |
|
1647 Ne Ashley School Circle Winston-salem NC 27105-5444 | |
| (336) 703-4205 | |
| (336) 245-4592 |
| Full Name | Gaston Family Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1647 Ne Ashley School Circle, 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. 1647 Ne Ashley School Circle Winston-salem NC 27105-5444 Ph: (336) 703-4205 |
| NPI Number | 1578719886 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20170310001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578719886 | NPI | - | NPPES |
| 6005802 | Medicaid | NC |
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