| Bluegrass Family Healthcare, Pllc | |
|
2337 Elizabethtown Rd Leitchfield KY 42754-9173 | |
| (270) 971-1388 | |
| (270) 297-7066 |
| Full Name | Bluegrass Family Healthcare, Pllc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 2337 Elizabethtown Rd, Leitchfield, Kentucky |
| Authorized Official Name and Position | Richard D Basham (APRN/OWNER) |
| Authorized Official Contact | 2709711388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Family Healthcare, Pllc 2337 Elizabethtown Rd Leitchfield KY 42754-9173 Ph: (270) 230-5084 | Bluegrass Family Healthcare, Pllc 2337 Elizabethtown Rd Leitchfield KY 42754-9173 Ph: (270) 971-1388 |
| NPI Number | 1275119364 |
|---|---|
| Provider Enumeration Date | 03/20/2021 |
| Last Update Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275119364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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