| NPI | 1356972764 |
|---|---|
| Doing Business As | BLUEGRASS COMMUNITY HEALTH CENTER-EAGLE CREEK |
| Doing Business As | BLUEGRASS COMMUNITY HEALTH CENTER-MOBILE VAN 1 |
| 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 | 2020-02-04 |
| Last Update Date | 2023-05-31 |