NPI | 1215567474 |
---|---|
Doing Business As | BLUEGRASS COMMUNITY HEALTH CENTER-VERSAILLES ROAD |
Entity Type | Organization |
Authorized Contact | ALAN S. WRIGHTSON Chief Executive Officer 859-977-7472 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2020-01-16 |
Last Update Date | 2020-04-03 |