Healthcare Provider Details

I. General information

NPI: 1528972866
Provider Name (Legal Business Name): FAMILY HEALTH CARE ASSOCIATES 13
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 W 7TH ST
PARIS KY
40361-1439
US

IV. Provider business mailing address

PO BOX 1535
BARBOURVILLE KY
40906-5535
US

V. Phone/Fax

Practice location:
  • Phone: 606-546-7777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: GINA GOOD
Title or Position: OWNER
Credential:
Phone: 606-627-6371