KINTEGRA FAMILY MEDICINE - HUDSON – NPI #1215932215
Clinic/Center

KINTEGRA FAMILY MEDICINE - HUDSON is an AHC clinic located in GASTONIA, NC. NPPES has assigned the NPI number 1215932215 to KINTEGRA FAMILY MEDICINE - HUDSON on June 16, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KINTEGRA FAMILY MEDICINE - HUDSON” is a dba name, the actual legal business name for this organization is GASTON FAMILY HEALTH SERVICES, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 6 years ago on Jan 15, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KINTEGRA FAMILY MEDICINE - HUDSON below.

NPI Profile for
GASTON FAMILY HEALTH SERVICES, INC.

NPI Number
1215932215
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GASTON FAMILY HEALTH SERVICES, INC.
Doing Business As (dba): KINTEGRA FAMILY MEDICINE - HUDSON
Primary location
991 WEST HUDSON BOULEVARD
GASTONIA, NC 28052-6430
Phone: (704) 853-5079 Fax:
Mailing address
200 E 2ND AVE
GASTONIA, NC 28052-4358
Phone: (704) 874-1904 Fax:
Organization Subpart
Yes - KINTEGRA FAMILY MEDICINE - HUDSON is subpart of another organization.
Authorized Official
SHARMILA ANDERSON
BUSINESS SERVICE ADMINISTRATOR
Phone: (704) 874-1907
Updated
Certification Date
Jan 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KINTEGRA FAMILY MEDICINE - HUDSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLACK LUNG PROGRAMNC611963200
OTHERBLUE CROSS NUMBERNC0136X
MEDICAIDNC344574A
MEDICAIDSCNPB239
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.