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CH04563G GASTON FAMILY HEALTH SERVICES INC (Terminated)
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Main Details
Name
GASTON FAMILY HEALTH SERVICES INC
Subdivision Name
Helping Hands Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010848
340B ID
CH04563G
Grant Number
H80CS00293
Additional Details
Current Program Status
Terminated
Registration Date
6/3/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/4/2010
Last Recertification Date
1/30/2019
Termination Date
Termination Reason
7/1/2019
Other
Contacts
Authorizing Official
Gaston Family Health Services
Robert Spencer, CEO
(704) 616-2245
Primary Contact
Gaston Family Health Services, Inc.
Marvin Patrick Allen, Director, Pharmacy Services
(704) 772-4642
Addresses
Street Address
206 Gamble Dr STE C
Lincolnton, NC 28092-4439
Billing Address
Gaston Family Health Services, Inc.
200 East Second Avenue
Gastonia, NC 28052
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/20/12 - Changed main address from 105 Dave Warlick Drive and billing address from 991 west hudson boulevard.
01/20/2012
April 2025
April 2025
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