| NPI | 1962111716 |
|---|---|
| Doing Business As | BLUEGRASS FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MONICA BOWMAN President 615-920-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2024-04-01 |