Provider Demographics
NPI:1740927599
Name:GOBEN FAMILY CARE
Entity type:Organization
Organization Name:GOBEN FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:DARLING
Authorized Official - Last Name:GOBEN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:270-318-5088
Mailing Address - Street 1:PO BOX 180
Mailing Address - Street 2:
Mailing Address - City:SEBREE
Mailing Address - State:KY
Mailing Address - Zip Code:42455-0180
Mailing Address - Country:US
Mailing Address - Phone:270-318-5088
Mailing Address - Fax:270-318-3131
Practice Address - Street 1:7139 STATE ROUTE 56 E
Practice Address - Street 2:
Practice Address - City:SEBREE
Practice Address - State:KY
Practice Address - Zip Code:42455-2136
Practice Address - Country:US
Practice Address - Phone:270-318-5088
Practice Address - Fax:270-318-3131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine