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).
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 |
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 | Doing Business As Name - Organization |
Bluegrass Community Health Center-Versailles Road | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
151 N Eagle Creek Dr Ste 220, Lexington, KY 405091892 | 8592632507 |
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 |
Street Address |
1306 VERSAILLES RD STE 120 |
City | LEXINGTON |
State | KY |
Zip Code | 40504-1795 |
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 |
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 |
Find all providers in zip 40504 |
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.