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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.

physician-icon Basic Information

Practice Location 207 Main Street, Crab Orchard, KY 40419, US
Practice Location Phone859-219-2828
Practice Location Fax859-219-2828
Legal Business NamePRIMARY CARE OF THE BLUEGRASS, LLC
Other Organization NameCRAB ORCHARD PRIMARY CARE
Other Organization Name TypeDoing Business As Name
NPI ?1942463096
Entity TypeOrganization
Enumeration Date ? Jul 9, 2008
Last Update Date ? Oct 10, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Primary Care Of The Bluegrass, Llc

SpecialtySpecializationLicenseLicense State
Clinic/CenterPrimary Care 700193Kentucky
Clinic/CenterRural Health 900266Kentucky
Nurse Practitioner

legacy-id-icon Legacy Provider IDs of Primary Care Of The Bluegrass, Llc

Provider IdIssuer StateIssuer TypeIssuer
7100043870KentuckyMedicaid

official-icon 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/PositionOWNER
Authorized Official Phone Number859-219-2828