GRASSROOTS CLINICAL SERVICES NPI 1679202931

NPI Information

NPI: 1679202931
Provider Name: GRASSROOTS CLINICAL SERVICES
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2304 SIR BARTON WAY STE 195
LEXINGTON, KY
ZIP 40509
Phone: (859) 263-1382
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GRASSROOTS CLINICAL SERVICES is a health service clinic center in Lexington, KY. GRASSROOTS CLINICAL SERVICES NPI is 1679202931. The provider is registered as an organization entity type.

The provider's business location address is:

2304 SIR BARTON WAY STE 195
LEXINGTON, KY
ZIP 40509-741
Phone: (859) 263-1382
Fax: (859) 795-5275

The provider's authorized official is Shelley Roberts .
The authorized official title is Owner and has the following contact phone number (859) 263-1382.

The enumeration date for this NPI number is 6/9/2022 and was last updated on 6/9/2022.

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	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			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

NPI Synchronization or Removal

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