Organization
FAMILY HEALTH CARE ASSOCIATES OF WILLIAMSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA LYNN GOOD ARNP (CLINIC OWNER)
(605) 546-7777
Entity
Organization
Contact information
Practice address
965 SOUTH HWY 25, STE 52, WILLIAMSBURG, KY 40769
(606) 549-8780
(606) 549-8779
Mailing address
P.O. BOX 1535, BARBOURVILLE, KY 40906
(606) 549-8780
(606) 549-8779
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3568P
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100059130
—
KY
05
—
7100063160
—
KY
Enumeration date
10/21/2008
Last updated
12/23/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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