BLUEGRASS PRIMARY HEALTH CARE CENTER, INC. (NPI# 1073144481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073144481 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS PRIMARY HEALTH CARE CENTER, INC. |
| Other Organization Name | BLUEGRASS COMMUNITY HEALTH CENTER-NEW LIFE |
| Practice Address |
224 N Martin Luther King Blvd Ste 200 Lexington KY 40507-2133 |
| Mailing Address |
1306 Versailles Rd Ste 120 Lexington KY 40504-1795 |
| Practice Telephone | 8592592635 |
| Mailing Telephone | 8592592635 |
| Mailing Fax Number | 8592547874 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | ALAN S. WRIGHTSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8599777472 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bluegrass Community Health Center-New Life | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356972764 | Bluegrass Primary Health Care Center, Inc. | Family Medicine | 151 N Eagle Creek Dr Ste 220, Lexington, KY 40509-1892 | 2020-02-04 |
| 1215567474 | Bluegrass Primary Health Care Center, Inc. | Family Medicine | 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 | 2020-01-16 |
| Street Address |
224 N MARTIN LUTHER KING BLVD STE 200 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40507-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366929077 | Melanie Dailey | Acupuncturist | 465 E High St Ste 208a, Lexington, KY 40507 | 2018-07-25 |
| 1376030262 | Revive Ministries, Inc | Substance Abuse Rehabilitation Facility | 185 Elm Tree Ln, Lexington, KY 40507 | 2018-04-17 |
| 1255788089 | Milagros Velazquez | Counselor | 201 Mechanic St., Lexington, KY 40507 | 2016-05-23 |
| 1326293788 | Kim Michelle Thompson | Family Medicine | 217 Elm Tree Lane, Polk Dalton Clinic, Lexington, KY 40507 | 2008-11-25 |
| 1932389293 | Lexington Fayette County Health Department | Public Health or Welfare | 161 Bruce St, Lexington, KY 40507 | 2007-11-05 |
| 1508983800 | Sandra Ann Thomas | Pharmacist | 401 West Main Street, Hutchinson Drugstore, Lexington, KY 40507 | 2007-03-23 |
| 1508823857 | Lexington Fayette Urban Co Government | Ambulance | 219 E Third St, Lexington, KY 40507 | 2006-04-28 |
| 1194254458 | Ashley Armstrong | Social Worker | 201 Mechanic St., Lexington, KY 40507 | 2017-06-08 |
| 1003355942 | Nancy Elaine Garth | Registered Nurse | 217 Elm Tree Lane, Uk Healthcare Polk-dalton Clinic, Lexington, KY 40507 | 2017-02-13 |
| 1467901686 | Megan D Davidson | Case Manager/Care Coordinator | 201 Mechanic St, Lexington, KY 40507 | 2016-09-29 |
| Find all providers in zip 40507 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
| 1104348606 | Mallory Community Health | Clinic/Center | 9479 Brozville Rd, Lexington, MS 39095-7090 | 2017-07-17 |
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1427504943 | Mallory Community Health | Clinic/Center | 12572 Highway 12, Lexington, MS 39095-8036 | 2016-08-26 |
| 1982002549 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2309 Aull Ln, Lexington, MO 64067 | 2014-12-15 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1831386192 | Eastern Kentucky University | Clinic/Center | 151 N Eagle Creek, Suite 220, Lexington, KY 40509-1892 | 2007-10-01 |
| 1164614053 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 811 S Business Highway 13 Ste A, Lexington, MO 64067 | 2007-08-14 |
| 1164460051 | Eastern Kentucky University | Clinic/Center | 1306 Versailles Rd, Suite 120, Lexington, KY 40504-1117 | 2006-06-03 |
| 1053951756 | Gaston Family Health Services, Inc | Clinic/Center | 32 Kirkwood Ave, Lexington, NC 27292-4024 | 2020-01-10 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.