NPIMap

Organization Active NPI

Family Health Care Associates

  • Rural Health Clinic/Center
  • Manchester, KY
National Provider Identifier
1851765481
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 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
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Ms. Gina Good, APRNNPI 1831167584
Title
President
Phone
(606) 546-7777

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 1

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

Addresses

Primary practice location

249 Old US Highway 421 Ste 3
Manchester, KY 40962-7506

Mailing address

PO Box 1535
Barbourville, KY 40906-5535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160209000192 KY Part A Provider - Rural Health Clinic 0244534402 Practice locations: Manchester, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851765481. Details of each certification follow.

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
LLCProprietary
Incorporated
Nov 18, 2015 in KY
Enrollment address
249 Old US Highway 421
Ste 3
Manchester, KY 40962-7506

National Provider Directory

National Provider Directory

Locations

249 Old US Highway 421
Ste 3
Manchester, KY 40962
Phone (606) 599-0077

217 S Cherry St
Pineville, KY 40977
Phone (606) 620-5087

Ownership & related parties

All disclosed owners & managing parties 1

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 Nov 18, 2015 100%
W-2 Managing EmployeePresident Nov 18, 2015 100%

Owners & managing parties with NPI records 1

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

  • Gina Good, APRN
    • Family Nurse Practitioner
    • Barbourville, KY
    • NPI 1831167584

    5% Or Greater Direct Ownership Interest, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.