NPI | 1902572993 |
---|---|
Doing Business As | BLUEGRASS COMMUNITY HEALTH CENTER-MOBILE VAN |
Entity Type | Organization |
Authorized Contact | ALAN STEVENS WRIGHTSON CEO 859-977-7472 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-08-19 |
Last Update Date | 2024-07-01 |