FAMILY PRACTICE CLINIC OF BOONEVILLE, INC.
NPI 1326152109
Clinic/Center - Rural Health in Booneville, KY

Active since August 18, 2006CLIA Certified · 2 labs
200 MULBERRY ST, SUITE A, BOONEVILLE, KY 41314(606) 593-6023(606) 593-6087 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Practice Clinic Of Booneville, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY PRACTICE CLINIC OF BOONEVILLE, INC. (NPI 1326152109) is a healthcare organization registered as a rural health in Booneville, Kentucky and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Kim Cox, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1326152109
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAMILY PRACTICE CLINIC OF BOONEVILLE, INC.
Location Address200 MULBERRY ST, SUITE ABooneville, KY 41314-7505
Mailing AddressPo Box 737, 200 Mulberry Street, Suite ABooneville, KY 41314-0737 · (606) 593-6023 · Fax (606) 593-6087
Fax(606) 593-6087
Organization SubpartNo
Authorized OfficialKim CoxOwner Operator · (606) 593-6023
Enumeration DateAugust 18, 2006
Last NPPES UpdateDecember 22, 2015
NPI 1326152109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
200 MULBERRY ST, Booneville, KY 41314

Other Identifiers 4

Medicare NSC7443350001KY
Medicaid7100159610KY
Medicare PIN0673201KY
Medicare OSCAR/certification183898KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 18D2090598

Family Practice Clinic Of Booneville Inc · Booneville, KY
Active · expires Mar 24, 2028
CLIA Number18D2090598
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDr. Joel Stephenson
Laboratory Phone(606) 593-6023
Laboratory LocationFamily Practice Clinic Of Booneville Inc200 Mulberry Street, Ste B, Booneville, KY 41314
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 18D2289659

Family Practice Clinic Of Booneville, Inc · Booneville, KY
Active · expires Sep 12, 2027
CLIA Number18D2289659
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorMs. Kim Cox
Laboratory Phone(606) 593-6023
Laboratory LocationFamily Practice Clinic Of Booneville, Inc200 Mulberry St, Ste A, Booneville, KY 41314
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
200 MULBERRY ST
BOONEVILLE, KY 41314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Practice Clinic Of Booneville, Inc.'s NPI number?

The NPI number for Family Practice Clinic Of Booneville, Inc. is 1326152109. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Family Practice Clinic Of Booneville, Inc. located?

Family Practice Clinic Of Booneville, Inc. is located at 200 Mulberry St Suite A, Booneville, KY 41314. The listed phone number is (606) 593-6023.

What is Family Practice Clinic Of Booneville, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Family Practice Clinic Of Booneville, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Family Practice Clinic Of Booneville, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Family Practice Clinic Of Booneville, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Practice Clinic Of Booneville, Inc. was last updated on December 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.