| Healthfirst Bluegrass Southland | |
|
496 Southland Dr Lexington KY 40503-1827 | |
| (859) 288-2425 | |
| (859) 721-3918 |
| Full Name | Healthfirst Bluegrass Southland |
|---|---|
| Speciality | Clinic/Center |
| Location | 496 Southland Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Wayne Linscott (CEO) |
| Authorized Official Contact | 8592882425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthfirst Bluegrass Southland 496 Southland Dr Lexington KY 40503-1827 Ph: (859) 288-2392 | Healthfirst Bluegrass Southland 496 Southland Dr Lexington KY 40503-1827 Ph: (859) 288-2425 |
| NPI Number | 1861840795 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 09/21/2020 |
| Medicare PECOS PAC ID | 5890961593 |
|---|---|
| Medicare Enrollment ID | O20160726002193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861840795 | NPI | - | NPPES |
| 31000086 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700028 (Kentucky) | Primary |
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