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CH04563EM GASTON FAMILY HEALTH SERVICES, INC. (Active)
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Main Details
Name
GASTON FAMILY HEALTH SERVICES, INC.
Subdivision Name
Kintegra at Shady Grove Elementary
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035866
340B ID
CH04563EM
Grant Number
H80CS00293
Additional Details
Current Program Status
Active
Registration Date
4/6/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/10/2023
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
3179 Cornatzer Rd
Advance, NC 27006-7212
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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