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CH04563EW GASTON FAMILY HEALTH SERVICES, INC. (Terminated)
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Main Details
Name
GASTON FAMILY HEALTH SERVICES, INC.
Subdivision Name
Administrative Offices
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036587
340B ID
CH04563EW
Grant Number
H80CS00293
Additional Details
Current Program Status
Terminated
Registration Date
5/3/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/8/2023
Last Recertification Date
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
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
624 S. Fayettesville St UNIT F1, 2 & 3
Asheboro, NC 27203
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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