NPI | 1811746761 |
---|---|
Doing Business As | BLUEGRASS COMMUNITY HEALTH CENTER-CENTRO DE SAN JUAN DIEGO CLINICA |
Entity Type | Organization |
Authorized Contact | ALAN STEVENS WRIGHTSON CEO 859-859-2592 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-05-14 |
Last Update Date | 2024-05-14 |