| Family Care Of The Bluegrass - Anderson | |
|
512 Saffell Street Lawrenceburg KY 40342-1253 | |
| (502) 839-1231 | |
| (502) 353-4218 |
| Full Name | Family Care Of The Bluegrass - Anderson |
|---|---|
| Speciality | Clinic/Center |
| Location | 512 Saffell Street, Lawrenceburg, Kentucky |
| Authorized Official Name and Position | Eric E Loy (C3O) |
| Authorized Official Contact | 2708586655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Of The Bluegrass - Anderson Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6644 | Family Care Of The Bluegrass - Anderson 512 Saffell Street Lawrenceburg KY 40342-1253 Ph: (502) 839-1231 |
| NPI Number | 1326492067 |
|---|---|
| Provider Enumeration Date | 04/19/2016 |
| Last Update Date | 11/25/2022 |
| Medicare PECOS PAC ID | 6305947789 |
|---|---|
| Medicare Enrollment ID | O20160628001940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326492067 | NPI | - | NPPES |
| 700172 | Other | KY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700172 (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 700172 (Kentucky) | Secondary |
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