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CH04563FX GASTON FAMILY HEALTH SERVICES, INC. (Active)
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Main Details
Name
GASTON FAMILY HEALTH SERVICES, INC.
Subdivision Name
Kintegra at Costner Elementary
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037142
340B ID
CH04563FX
Grant Number
H80CS00293
Additional Details
Current Program Status
Active
Registration Date
10/16/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/18/2023
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
353 Old NC 277 Loop Rd
Dallas, NC 28034-9795
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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