Organization
FAMILY HEALTH CARE ASSOCIATES 12 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA GOOD APRN (PRESIDENT)
(606) 546-7777
Entity
Organization
Contact information
Practice address
1717 N 25TH ST STE G, MIDDLESBORO, KY 40965-1851
(606) 627-1983
(606) 645-1776
Mailing address
PO BOX 1535, BARBOURVILLE, KY 40906-5535
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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