Family Health Care Associates
Organization Active NPI Rural Health Clinic/Center · Manchester, KY
NPI 1851765481 · NPPES record last updated May 28, 2025
Key facts
- NPI
- 1851765481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- FAMILY HEALTH CARE ASSOCIATES
- Practice address
- 249 Old US Highway 421 Ste 3
Manchester, KY 40962-7506 - Phone
- (606) 599-0077
- Fax
- (606) 645-1776
- NPI assigned
- Nov 19, 2015
- Organization subpart
- No
Authorized official
- Name
- Ms. Gina Good, APRN
- Title
- President
- Phone
- (606) 546-7777
Owners & managing parties with NPI records 1
-
Gina Good, APRN
Practitioners 13
-
Joyce A Parker, APRN, NP-C
-
Ashley Victoria Beard, APRN
-
Marquita Lytrese Brown, APRN
-
Heather Marie Hammack, APRN, FNP-C
-
Rebecca Ann Hensley, M.S.N., R.N., PNP-BC
-
Anita C Ledbetter, APRN
-
Samantha Brooke Shell, APRN
-
Laura Ashley Short, APRN
-
Vannessa Marie Watson, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Rural health clinic certification: CCN 188966
- Legal name
- FAMILY HEALTH CARE ASSOCIATES
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Oct 4, 2017
- Last certification
- Sep 5, 2017
- Ownership / control type
- 1A
- Organization structure
- LLC · Proprietary
- Incorporated
- Nov 18, 2015 in KY
- Enrollment address
- 249 Old US Highway 421
Ste 3
Manchester, KY 40962-7506
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Gina Good |
5% Or Greater Direct Ownership Interest |
Nov 18, 2015 | 100% |
| W-2 Managing Employee |
Nov 18, 2015 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160209000192 | KY | Part a Provider - Rural Health Clinic | 0244534402 | Practice locations: Manchester, KY |
National Provider Directory
Locations
203 Van House Ln
London, KY 40741
249 Old US Highway 421
Manchester, KY 40962
Phone (606) 599-0077
249 Old US Highway 421
Ste 3
Manchester, KY 40962
Phone (606) 599-0077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
249 Old US Highway 421 Ste 3
Manchester, KY 40962-7506
Mailing address
PO Box 1535
Barbourville, KY 40906-5535
NPI Registry JSON
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748390400000",
"number": "1851765481",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 OLD US HIGHWAY 421 STE 3",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409627506",
"telephone_number": "606-599-0077",
"fax_number": "606-645-1776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH CARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-19",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "GOOD",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-546-7777",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, KY
- Ahmed El Gammal
- Kelly Evans
- Express Care Pharmacy LLC
- Faith Medical Center LLC
- Family Clinic Manchaster LLC
- Family Health Care Associates of Kentucky, Inc.
- Family Home Care,Inc.
- Family Medical Care of Manchester
- Family Practice of Kentucky LLC
- Tonya Lynn Farmer
All providers in Manchester, KY · Rural Health Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.