| Bluegrass Community Health Center-new Life | |
|
224 N Martin Luther King Blvd Ste 200 Lexington KY 40507-2133 | |
| (859) 259-2635 | |
| Not Available |
| Full Name | Bluegrass Community Health Center-new Life |
|---|---|
| Speciality | Clinic/Center |
| Location | 224 N Martin Luther King Blvd Ste 200, Lexington, Kentucky |
| Authorized Official Name and Position | Alan S. Wrightson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8599777472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Community Health Center-new Life 1306 Versailles Rd Ste 120 Lexington KY 40504-1795 Ph: (859) 259-2635 | Bluegrass Community Health Center-new Life 224 N Martin Luther King Blvd Ste 200 Lexington KY 40507-2133 Ph: (859) 259-2635 |
| NPI Number | 1073144481 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 04/03/2020 |
| Medicare PECOS PAC ID | 7810326915 |
|---|---|
| Medicare Enrollment ID | O20200410000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073144481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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