| Bluegrass Primary Health Care Center, Inc. | |
|
1600 W Lexington Ave Winchester KY 40391-1145 | |
| (859) 977-7482 | |
| Not Available |
| Full Name | Bluegrass Primary Health Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 W Lexington Ave, Winchester, Kentucky |
| Authorized Official Name and Position | Alan Stevens Wrightson (CEO) |
| Authorized Official Contact | 8599777472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Primary Health Care Center, Inc. 1306 Versailles Rd Ste 120 Lexington KY 40504-1795 Ph: (859) 259-2635 | Bluegrass Primary Health Care Center, Inc. 1600 W Lexington Ave Winchester KY 40391-1145 Ph: (859) 977-7482 |
| NPI Number | 1659082774 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 12/09/2022 |
| Medicare PECOS PAC ID | 7810326915 |
|---|---|
| Medicare Enrollment ID | O20230428000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659082774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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