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CH04563K Gaston Family Health Services, Inc. (Active)
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Main Details
Name
Gaston Family Health Services, Inc.
Subdivision Name
Kintegra Pediatric Medicine and Kintegra Family Dentistry -Statesville
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015190
340B ID
CH04563K
Grant Number
H80CS00293
Additional Details
Current Program Status
Active
Registration Date
1/10/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/13/2013
Last Recertification Date
2/26/2025
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
518 Brookdale Drive
Statesville, NC 28677
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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