Bluegrass Legacy Healthcare, Pllc
LBN: Bluegrass Legacy Healthcare, Pllc
Bluegrass Legacy Healthcare, Pllc is an health care organization with primary practice located at 105 Glen Oak Blvd Ste 202 , Hendersonville TN 37075-3058. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Bluegrass Legacy Healthcare, Pllc can be contacted via phone (615) 826-2265, or through Eubank, Abigail Joan via phone (615) 826-2265.
Contact Information
Primary practice address
105 Glen Oak Blvd Ste 202
Hendersonville TN 37075-3058
Phone: (615) 826-2265
Fax: (615) 826-4616
Website:
Authorized official contact:
Name: Eubank, Abigail Joan Advanced Practice Nurse (APN)
Phone: (615) 826-2265
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1467047258 |
|---|---|
| LBN Legal business name | Bluegrass Legacy Healthcare, Pllc |
| DBA Doing business as | |
| Authorized official | Eubank, Abigail Joan Advanced Practice Nurse (APN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 4th, 2021 |
| Last updated | Jun 13th, 2024 - about 5 months 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 | 1467047258 | NPPES |
| Tennessee | Other | 4112769 | BCBST |
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