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 | ENAYET U CHOWDHURY Chief Executive Officer 859-825-6869 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-02-04 |
Last Update Date | 2025-05-28 |