NPI | 1326492067 |
---|---|
Doing Business As | FAMILY CARE OF THE BLUEGRASS - ANDERSON |
Entity Type | Organization |
Authorized Contact | ERIC E LOY C3 O 270-858-6655 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700172) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 700172) |
Enumeration Date | 2016-04-19 |
Last Update Date | 2022-11-25 |