Corbin Family Practice Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

900141 Issued in KY

Legal business name

CORBIN FAMILY PRACTICE CLINIC

Practice address

1400 Cumberland Falls Hwy
Corbin, KY 40701-2739

Phone

(606) 258-8787

Fax

(606) 258-8788

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Robert A. Carter Jr.

Title

President

Phone

(606) 528-0283

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Corbin Family Practice Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Corbin Family Practice Clinic, Inc.

  • Nurse Practitioner
  • Corbin, KY
  • NPI 1134122468
  NPD tax ID

Locations

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619921756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407021125",
            "telephone_number": "606-528-0283",
            "fax_number": "606-528-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012739",
            "telephone_number": "606-258-8787",
            "fax_number": "606-258-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBIN FAMILY PRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-528-0283",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "900141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35001353",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Davis Cook, MSW, CSW
• Rachel Lee Cooper, M.ED.
• Anya Kerin Cope, D.O.
• Corbin Cardiology & Internal Medicine, Inc.
• Corbin Digestive and Liver Disease Center, PLLC
• Corbin Family Practice Clinic, Inc.
• Corbin Independent Schools
• Corbin Instant Care, LLC
• Corbin London Medical Associates
• Corbin Massage Therapy

• Family Medicine Physician in Corbin, KY
• Providers in Corbin, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.