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BLUEGRASS PRIMARY HEALTH CARE CENTER INC. NPI 1215567474


NPI Information

NPI: 1215567474
Provider Name: BLUEGRASS PRIMARY HEALTH CARE CENTER, INC.

Doing Business As: BLUEGRASS COMMUNITY HEALTH CENTER-VERSAILLES ROAD

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1306 VERSAILLES RD STE 120
LEXINGTON, KY
ZIP 40504
Phone: (859) 259-2635
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BLUEGRASS PRIMARY HEALTH CARE CENTER, INC. is a federally qualified health center (fqhc) clinic center in Lexington, KY. BLUEGRASS PRIMARY HEALTH CARE CENTER, INC. NPI is 1215567474. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bluegrass Community Health Center-versailles Road.

The provider's business location address is:

1306 VERSAILLES RD STE 120
LEXINGTON, KY
ZIP 40504-795
Phone: (859) 259-2635
Fax: (859) 254-7874

The provider's authorized official is Alan S. Wrightson .
The authorized official title is Chief Executive Officer and has the following contact phone number (859) 977-7472.

The enumeration date for this NPI number is 1/16/2020 and was last updated on 4/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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