BLUEGRASS MEDICAL CARE LLC NPI 1659860807

NPI Information

NPI: 1659860807
Provider Name: BLUEGRASS MEDICAL CARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 18D0986093

Address:
4863B SCOTTSVILLE RD
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 843-5662
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BLUEGRASS MEDICAL CARE LLC is a primary care clinic center in Bowling Green, KY. BLUEGRASS MEDICAL CARE LLC NPI is 1659860807. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4863B SCOTTSVILLE RD
BOWLING GREEN, KY
ZIP 42104-909
Phone: (270) 843-5662
Fax: (270) 843-5614

The provider's authorized official is Steve A Jessee .
The authorized official title is Business Manager and has the following contact phone number (270) 670-3520.

The CLIA number assigned to this NPI record is 18D0986093 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2018 and was last updated on 5/3/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	261QP2300X	Clinic/Center	Primary Care	Yes
3	363LF0000X	Nurse Practitioner	Family	No

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

NPI Synchronization or Removal

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