Bluegrass Clinic Liberty, Pllc
LBN: Bluegrass Clinic Liberty, Pllc
Bluegrass Clinic Liberty, Pllc is an health care organization with primary practice located at 256 N Wallace Wilkinson Blvd , Liberty KY 42539-3014. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Bluegrass Clinic Liberty, Pllc can be contacted via phone (160) 678-7001, or through Miller, James A via phone (606) 365-8338.
Contact Information
Primary practice address
256 N Wallace Wilkinson Blvd
Liberty KY 42539-3014
Phone: (160) 678-7001
Fax: (606) 787-0035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1457555146 |
|---|---|
| LBN Legal business name | Bluegrass Clinic Liberty, Pllc |
| DBA Doing business as | |
| Authorized official | Miller, James A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Oct 25th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457555146 | NPPES |
| Kentucky | MEDICAID | 7100032530 |
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