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FAMILY HEALTH CARE ASSOCIATES 12 LLC
NPI 1528950532
Clinic/Center - Rural Health in Middlesboro, KY

Active since July 16, 2025CLIA 18D2327887 · Waiver
1717 N 25TH ST STE G, MIDDLESBORO, KY 40965(606) 627-1983(606) 645-1776 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family Health Care Associates 12 Llc NPPES

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

FAMILY HEALTH CARE ASSOCIATES 12 LLC (NPI 1528950532) is a healthcare organization registered as a rural health in Middlesboro, Kentucky and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Gina Good, President, as its authorized official.

NPPES Registry Identity

NPI1528950532
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAMILY HEALTH CARE ASSOCIATES 12 LLC
Location Address1717 N 25TH ST STE GMiddlesboro, KY 40965-1851
Mailing AddressPo Box 1535Barbourville, KY 40906-5535
Phone(606) 627-1983
Fax(606) 645-1776
Organization SubpartNo
Authorized OfficialGina GoodPresident · (606) 546-7777
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1528950532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1717 N 25TH ST STE G, Middlesboro, KY 40965
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CLIA Laboratory Certificates CMS CLIA

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 Waiver 18D2327887

Family Health Care Associates 12, LLC · Middlesboro, KY
Active · expires Jul 30, 2027
CLIA Number18D2327887
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorMs. Gina Good
Laboratory Phone(606) 627-1983
Laboratory LocationFamily Health Care Associates 12, LLC1717 N 25th St Ste G, Middlesboro, KY 40965
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Health Care Associates 12 LLC's NPI number?

The NPI number for Family Health Care Associates 12 LLC is 1528950532. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Family Health Care Associates 12 LLC located?

Family Health Care Associates 12 LLC is located at 1717 N 25th St Ste G, Middlesboro, KY 40965. The listed phone number is (606) 627-1983.

What is Family Health Care Associates 12 LLC's specialty?

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

Does Family Health Care Associates 12 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2327887) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Health Care Associates 12 LLC was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.