Organization
FAMILY HEALTH CARE ASSOCIATES RURAL CLINIC OF CORBIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA GOOD APRN (OWNER)
(606) 546-7777
Entity
Organization
Contact information
Practice address
2886 UK KY HWY 1629, SUITE 3, CORBIN, KY 40701-2739
(606) 546-7777
(606) 545-7611
Mailing address
PO BOX 1535, BARBOURVILLE, KY 40906-7300
(606) 546-7777
(606) 545-7611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40244
KY
261Q00000X
Clinic/Center
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100063110
—
KY
Enumeration date
11/26/2008
Last updated
04/05/2011
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