| Bluegrass Community Health Center-eagle Creek | |
|
131 N Eagle Creek Dr Lexington KY 40509-1806 | |
| (859) 263-2507 | |
| (859) 254-7874 |
| Full Name | Bluegrass Community Health Center-eagle Creek |
|---|---|
| Speciality | Clinic/Center |
| Location | 131 N Eagle Creek Dr, 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-eagle Creek 1306 Versailles Rd Ste 120 Lexington KY 40504-1795 Ph: (859) 259-2635 | Bluegrass Community Health Center-eagle Creek 131 N Eagle Creek Dr Lexington KY 40509-1806 Ph: (859) 263-2507 |
| NPI Number | 1356972764 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 05/31/2023 |
| Medicare PECOS PAC ID | 7810326915 |
|---|---|
| Medicare Enrollment ID | O20200409003475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356972764 | 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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