Bluegrass Surgical Association, Psc

LBN: Bluegrass Surgical Association, Psc
Bluegrass Surgical Association, Psc is an health care organization with primary practice located at 996 Wilkinson Trce Suite A5, Bowling Green KY 42103-3407. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bluegrass Surgical Association, Psc can be contacted via phone (270) 782-5219, or through Korba, John L via phone (270) 782-5219.

Contact Information

Primary practice address
996 Wilkinson Trce Suite A5 Bowling Green KY 42103-3407
Phone: (270) 782-5219
Fax: (270) 793-9385
Website:
Map and Directions
Authorized official contact:
Name: Korba, John L Doctor of Medicine (MD)
Phone: (270) 782-5219

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25747 Kentucky

Profile Details

NPI number 1497814768
LBN Legal business name Bluegrass Surgical Association, Psc
DBA Doing business as
Authorized official Korba, John L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Dec 14th, 2010 - about 15 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 1497814768 NPPES
Kentucky MEDICAID 65924375

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