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
215 E MAIN ST, PROVIDENCE, KY 42450-1261
(270) 828-5784
(270) 825-5204
Mailing address
PO BOX 37, PROVIDENCE, KY 42450-0037
(270) 667-7017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
KY
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100111220
—
KY
Enumeration date
01/15/2010
Last updated
02/15/2023
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