Bluegrass Medical Clinic Pllc
LBN: Bluegrass Medical Clinic Pllc
Bluegrass Medical Clinic Pllc is an health care organization with primary practice located at 22 Clinic Dr , Paris KY 40361. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Bluegrass Medical Clinic Pllc can be contacted via phone (859) 987-0074, or through Moore, Nathan L via phone (859) 987-0074.
Contact Information
Primary practice address
22 Clinic Dr
Paris KY 40361
Phone: (859) 987-0074
Fax: (859) 987-0098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1902910722 |
|---|---|
| LBN Legal business name | Bluegrass Medical Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Moore, Nathan L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Dec 18th, 2013 - about 11 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 | 1902910722 | NPPES |
| Kentucky | MEDICAID | 65906455 |
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