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Contact Information

FAMILY HEALTH CARE ASSOCIATES OF WILLIAMSBURG
965 SOUTH HWY 25
STE 52
WILLIAMSBURG, KY40769
 Phone: 606-549-8780
 Fax: 606-549-8779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FAMILY HEALTH CARE ASSOCIATES OF WILLIAMSBURG

NPI # 1568614543
LBN Legal business name FAMILY HEALTH CARE ASSOCIATES OF WILLIAMSBURG
Authorized official GINA GOOD - (CLINIC OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2008
Last updated 12/23/2009 - About 16 years ago
Identifiers
KY License # 3568P
KY Medicaid 7100059130
KY Medicaid 7100063160
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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