Organization
REGIONAL HEALTH CARE AFFILIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY GOBIN (CEO)
(270) 667-7017
Entity
Organization
Contact information
Practice address
295 MAIN ST, CALHOUN, KY 42327-2104
(270) 270-9310
(270) 273-9314
Mailing address
PO BOX 37, PROVIDENCE, KY 42450-0037
(270) 667-7017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY22811
KY
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
4698P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100113910
—
KY
Enumeration date
03/03/2010
Last updated
02/08/2018
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