NPIMap

Organization Active NPI

Family Health Care Associates Rural Clinic of Corbin PLLC

  • Clinic/Center
  • Corbin, KY
National Provider Identifier
1447405865
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FAMILY HEALTH CARE ASSOCIATES RURAL CLINIC OF CORBIN PLLC
Practice address
2886 Uk Ky Hwy 1629
Suite 3
Corbin, KY 40701-2739
Phone
(606) 546-7777
Fax
(606) 545-7611
NPI assigned
Nov 26, 2008
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Mrs. Gina Good, APRNNPI 1831167584
Title
Owner
Phone
(606) 546-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X KY Primary
Family Medicine Physician 207Q00000X 40244 KY

Addresses

Primary practice location

2886 Uk Ky Hwy 1629
Suite 3
Corbin, KY 40701-2739

Mailing address

PO Box 1535
Barbourville, KY 40906-7300
Phone (606) 546-7777

Other identifiers 1

IdentifierTypeStateIssuer
7100063110MedicaidKY

National Provider Directory

National Provider Directory

Locations

2886 Ky 1629
Ste 3
Corbin, KY 40701
Phone (606) 258-0701

Practitioners & affiliated clinicians

Practitioners 4

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": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1447405865",
    "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": "409067300",
            "telephone_number": "606-546-7777",
            "fax_number": "606-545-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2886 UK KY HWY 1629",
            "address_2": "SUITE 3",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012739",
            "telephone_number": "606-546-7777",
            "fax_number": "606-545-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE ASSOCIATES RURAL CLINIC OF CORBIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-546-7777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "40244",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100063110",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.