| New Vista Of The Bluegrass Inc | |
|
322 Frontier Boulevard Stanford KY 40484 | |
| (859) 253-1686 | |
| (859) 254-2743 |
| Full Name | New Vista Of The Bluegrass Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 322 Frontier Boulevard, Stanford, Kentucky |
| Authorized Official Name and Position | Dee Werline (PRESIDENT/CEO) |
| Authorized Official Contact | 8592531686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Vista Of The Bluegrass Inc 1351 Newtown Pike Lexington KY 40511-1275 Ph: (859) 253-1686 | New Vista Of The Bluegrass Inc 322 Frontier Boulevard Stanford KY 40484 Ph: (859) 253-1686 |
| NPI Number | 1366485989 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366485989 | NPI | - | NPPES |
| 874068 | Other | KY | USA |
| 091018 | Other | KY | VALUE OPTIONS |
| 28015014 | Medicaid | KY | |
| 33900119 | Medicaid | KY | |
| 27015015 | Medicaid | KY | |
| 30615058 | Medicaid | KY | |
| 203581000 | Other | KY | MAGELLAN 334 |
| 242395 | Other | KY | COMPSYCH |
| 29000003 | Medicaid | KY | |
| 000000057414 | Other | KY | ANTHEM |
| 101483 | Other | KY | CHA INSURANCE |
| 207023 | Other | KY | MHN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 800121 (Kentucky) | Primary |
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