Provider Demographics
NPI:1174102834
Name:A FAMILY CARE CLINIC
Entity type:Organization
Organization Name:A FAMILY CARE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FNP
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KUBLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-414-8495
Mailing Address - Street 1:7346 MCGAHEYSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PENN LAIRD
Mailing Address - State:VA
Mailing Address - Zip Code:22846-9777
Mailing Address - Country:US
Mailing Address - Phone:540-414-8495
Mailing Address - Fax:540-952-2223
Practice Address - Street 1:7346 MCGAHEYSVILLE RD
Practice Address - Street 2:
Practice Address - City:PENN LAIRD
Practice Address - State:VA
Practice Address - Zip Code:22846-9777
Practice Address - Country:US
Practice Address - Phone:540-414-8495
Practice Address - Fax:540-952-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care