| Bluegrass Community Health Center-mobile Van | |
|
100 Vaught Rd Winchester KY 40391-2479 | |
| (859) 977-8482 | |
| Not Available |
| Full Name | Bluegrass Community Health Center-mobile Van |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Vaught Rd, 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 Community Health Center-mobile Van 1306 Versailles Rd Ste 120 Lexington KY 40504-1795 Ph: (859) 259-2635 | Bluegrass Community Health Center-mobile Van 100 Vaught Rd Winchester KY 40391-2479 Ph: (859) 977-8482 |
| NPI Number | 1902572993 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 07/01/2024 |
| Medicare PECOS PAC ID | 7810326915 |
|---|---|
| Medicare Enrollment ID | O20210921003264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902572993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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