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CH04563Z GASTON FAMILY HEALTH SERVICES INC (Terminated)
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Main Details
Name
GASTON FAMILY HEALTH SERVICES INC
Subdivision Name
GFHS School Based Social Work Program
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019137
340B ID
CH04563Z
Grant Number
H80CS00293
Additional Details
Current Program Status
Terminated
Registration Date
11/3/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/6/2017
Last Recertification Date
2/15/2024
Termination Date
Termination Reason
1/1/2025
Site closure
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
601 N Cherry St
Winston Salem, NC 27101-2933
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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April 2025
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