BLUEGRASS PRIMARY HEALTH CARE CENTER, INC.


Address: 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795
Phone: 8592592635

BLUEGRASS PRIMARY HEALTH CARE CENTER, INC. (NPI# 1215567474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215567474
Entity Type Organization
Organization Name BLUEGRASS PRIMARY HEALTH CARE CENTER, INC.
Other Organization Name BLUEGRASS COMMUNITY HEALTH CENTER-VERSAILLES ROAD
Practice Address 1306 Versailles Rd Ste 120
Lexington
KY 40504-1795
Practice Telephone 8592592635
Practice Fax Number 8592547874
Mailing Telephone 8592592635
Mailing Fax Number 8592547874
Enumeration Date 2020-01-16
Last Update Date 2020-04-03
Authorized Official Name ALAN S. WRIGHTSON JR. (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 8599777472
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Bluegrass Community Health Center Doing Business As Name - Organization
Bluegrass Community Health Center-Versailles Road Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
151 N Eagle Creek Dr Ste 220, Lexington, KY 405091892 8592632507

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073144481 Bluegrass Primary Health Care Center, Inc. Family Medicine 224 N Martin Luther King Blvd Ste 200, Lexington, KY 40507-2133 2020-02-04
1356972764 Bluegrass Primary Health Care Center, Inc. Family Medicine 151 N Eagle Creek Dr Ste 220, Lexington, KY 40509-1892 2020-02-04

Office Location

Street Address 1306 VERSAILLES RD STE 120
City LEXINGTON
State KY
Zip Code 40504-1795

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164403762 Patrick D Hughes Nurse Practitioner 1306 Versailles Rd Ste 120, Lexington, KY 40504 2005-11-10
1598377194 Elizabeth Kinney Nurse Practitioner 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 2020-08-17
1811484389 Richard William London Physician Assistant 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 2018-04-19
1467975649 Deana Underwood Nurse Practitioner 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 2017-07-19
1023550480 Zachary D Rawlings Social Worker 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 2016-11-15
1659795243 Olga Maria Skinner Nurse Practitioner 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 2014-02-18
1447424536 Debra G Wilson Counselor 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 2008-04-18
1194949156 Julie B Perry Registered Nurse 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 2007-04-12
1558401836 Kelly N Moore Social Worker 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 2007-02-07
1104975465 Iris V Gutierrez Social Worker 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 2007-01-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740809953 Michael Jason Blocker Registered Nurse 1 St Hoseph Drive, Lexington, KY 40504 2020-04-09
1841842010 Jessica Brooke Castleberry Counselor Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 2019-07-09
1528554474 Hillcrest Pain & Spine Pllc Pain Medicine 853 Lane Allen Rd Ste 217, Lexington, KY 40504 2018-07-03
1366962474 Jessica Hope King Dentist 1330 Harrodsburg Road, Lexington, KY 40504 2017-06-21
1255861076 Mary Elizabeth Bailey Dentist 1330 Harrodsburg Rd, Lexington, KY 40504 2017-06-14
1295172211 Alan Kidon Podiatrist 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 2013-05-31
1578847554 Linda W Mcdaniel Pharmacist 2181 Harrodsburg Road, Lexington, KY 40504 2011-10-07
1578844197 Amber Kincaid Ballard Nurse Practitioner Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 2011-09-09
1104118124 Harry W Tenfelde IIi Pharmacist 2284 Versailles Rd., Lexington, KY 40504 2011-05-10
1831495506 Horizon Headache Center, Pllc Physical Therapist 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 2011-01-28
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LEXINGTON
Zip Code 40504

Improve Information

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Dataset Information

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.

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