Organization
FAMILY HEALTH CARE ASSOCIATES OF CORBIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA LYNN GOOD ARNP (CLINIC OWNER)
(606) 248-8284
Entity
Organization
Contact information
Practice address
2801 US HIGHWAY 25 E, SUITE 98, MIDDLESBORO, KY 40965-2069
(606) 248-8284
Mailing address
P.O. BOX 1535, BARBOURVILLE, KY 40906
(606) 546-7777
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295986297
NPI
KY
05
—
7100060110
—
KY
Enumeration date
10/08/2008
Last updated
09/30/2014
Update your record
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