| Family Care Of The Bluegrass | |
|
512 Saffell St Lawrenceburg KY 40342-1253 | |
| (502) 839-1231 | |
| (502) 227-1114 |
| Full Name | Family Care Of The Bluegrass |
|---|---|
| Speciality | Clinic/Center |
| Location | 512 Saffell St, Lawrenceburg, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| 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 Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6655 | Family Care Of The Bluegrass 512 Saffell St Lawrenceburg KY 40342-1253 Ph: (502) 839-1231 |
| NPI Number | 1861837270 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 06/06/2019 |
| Medicare PECOS PAC ID | 6305947789 |
|---|---|
| Medicare Enrollment ID | O20130624000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861837270 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Kentucky) | Primary |
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