Bluegrass Clinic Stanford, Pllc

LBN: Bluegrass Clinic Stanford, Pllc
Bluegrass Clinic Stanford, Pllc is an health care organization with primary practice located at 107 Metker Trl Suite A, Stanford KY 40484-1049. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Bluegrass Clinic Stanford, Pllc can be contacted via phone (606) 365-8338, or through Miller, James via phone (606) 365-8338.

Contact Information

Primary practice address
107 Metker Trl Suite A Stanford KY 40484-1049
Phone: (606) 365-8338
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, James Doctor of Medicine (MD)
Phone: (606) 365-8338

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 30199 Kentucky

Profile Details

NPI number 1265571020
LBN Legal business name Bluegrass Clinic Stanford, Pllc
DBA Doing business as
Authorized official Miller, James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Oct 4th, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265571020 NPPES
Kentucky MEDICAID 35001882
Kentucky Other DE0433

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