NPIMap

Organization Active NPI

Family Health Care Associates 2

  • Rural Health Clinic/Center
  • Annville, KY
National Provider Identifier
1275908543
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAMILY HEALTH CARE ASSOCIATES 2
Practice address
3133 Highway 3630
Annville, KY 40402-8738
Phone
(606) 332-3502
Fax
(606) 645-1776
NPI assigned
Dec 11, 2015
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gina Good, APRNNPI 1831167584
Title
Owner
Phone
(606) 627-6371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

3133 Highway 3630
Annville, KY 40402-8738

Mailing address

PO Box 1535
Barbourville, KY 40906-5535
Phone (606) 620-5087

Other practice location 1

3331 Highway 421 S
Mc Kee, KY 40447-9230
Phone (606) 332-3502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160209000088 KY Part A Provider - Rural Health Clinic 6002110269 Practice locations: Annville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275908543. Details of each certification follow.

Rural health clinic certification: CCN 188958

Legal name
FAMILY HEALTH CARE ASSOCIATES 2
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 6, 2017
Last certification
Sep 6, 2017
Ownership / control type
1A
Organization structure
LLCProprietary
Incorporated
Dec 4, 2015 in KY
Enrollment address
3133 Highway 3630
Annville, KY 40402-8738

National Provider Directory

National Provider Directory

Locations

3133 Highway 3630
Annville, KY 40402
Phone (606) 332-3502

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gina Good Individual 5% Or Greater Direct Ownership InterestOwner Dec 4, 2015 100%
Deepa Patel Individual W-2 Managing EmployeeBilling Supervisor Nov 18, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1275908543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409065535",
            "telephone_number": "606-620-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 HIGHWAY 3630",
            "city": "ANNVILLE",
            "state": "KY",
            "postal_code": "404028738",
            "telephone_number": "606-332-3502",
            "fax_number": "606-645-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3331 Highway 421 S",
            "address_purpose": "LOCATION",
            "city": "Mc Kee",
            "state": "KY",
            "postal_code": "404479230",
            "country_code": "US",
            "telephone_number": "606-332-3502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE ASSOCIATES 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-627-6371",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annville, KY

Sources for this page

Verify at the official NPI Registry.