Primary Care Of The Bluegrass, Llc
Primary Care Of The Bluegrass, Llc is a health care provider in Lexington, KY. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 207 Main Street, Crab Orchard, KY 40419, US |
|Practice Location Phone||859-219-2828|
|Practice Location Fax||859-219-2828|
|Legal Business Name||PRIMARY CARE OF THE BLUEGRASS, LLC|
|Other Organization Name||CRAB ORCHARD PRIMARY CARE|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Jul 9, 2008|
|Last Update Date ? ||Oct 10, 2013|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Primary Care Of The Bluegrass, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Primary Care ||700193||Kentucky|
|Clinic/Center||Ambulatory Health Care Facilities||Rural Health ||900266||Kentucky|
|Nurse Practitioner||Physician Assistants & Advanced Practice Nursing Providers|| |
Legacy Provider IDs of Primary Care Of The Bluegrass, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Primary Care Of The Bluegrass, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Primary Care Of The Bluegrass, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Ann Giles|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||859-219-2828|