Bluegrass Internal Medicine Pllc
LBN: Bluegrass Internal Medicine Pllc
Bluegrass Internal Medicine Pllc is an health care organization with primary practice located at 3346 Professional Park Dr , Owensboro KY 42303-4551. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Bluegrass Internal Medicine Pllc can be contacted via phone (270) 685-1066, or through Jarvis, Angela Louise via phone (270) 685-1066.
Contact Information
Primary practice address
3346 Professional Park Dr
Owensboro KY 42303-4551
Phone: (270) 685-1066
Fax: (270) 685-0881
Website:
Authorized official contact:
Name: Jarvis, Angela Louise Doctor of Medicine (MD)
Phone: (270) 685-1066
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
NPI number | 1619973682 |
---|---|
LBN Legal business name | Bluegrass Internal Medicine Pllc |
DBA Doing business as | |
Authorized official | Jarvis, Angela Louise Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 24th, 2005 |
Last updated | Mar 24th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619973682 | NPPES |
Kentucky | MEDICAID | 65935470 | |
Kentucky | MEDICAID | 78902251 |
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