Family Health Care Associates of Corbin

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FAMILY HEALTH CARE ASSOCIATES OF CORBIN

Practice address

2801 US Highway 25 E
Suite 98
Middlesboro, KY 40965-2069

Phone

(606) 248-8284

NPI assigned

Oct 8, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Gina Lynn Good, ARNP

Title

Clinic Owner

Phone

(606) 248-8284

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1295986297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1535",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "40906",
            "telephone_number": "606-546-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 US HIGHWAY 25 E",
            "address_2": "SUITE 98",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652069",
            "telephone_number": "606-248-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE ASSOCIATES OF CORBIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "606-248-8284",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295986297",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100060110",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.