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:
Map and Directions
Authorized official contact:
Name: Jarvis, Angela Louise Doctor of Medicine (MD)
Phone: (270) 685-1066

Health care specialties

SpecialtyCodeLicense #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 4 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 1619973682 NPPES
Kentucky MEDICAID 65935470
Kentucky MEDICAID 78902251

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