Bluegrass Community Health Center

LBN: Eastern Kentucky University
Bluegrass Community Health Center is an health care organization with primary practice located at 151 N Eagle Creek Suite 220, Lexington KY 40509-1892. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Eastern Kentucky University can be contacted via phone (859) 259-2635, or through Fister, Susan via phone (859) 259-0717.

Contact Information

Primary practice address
151 N Eagle Creek Suite 220 Lexington KY 40509-1892
Phone: (859) 259-2635
Fax: (859) 254-7874
Website:
Map and Directions
Authorized official contact:
Name: Fister, Susan
Phone: (859) 259-0717

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Kentucky

Profile Details

NPI number 1831386192
LBN Legal business name Eastern Kentucky University
DBA Doing business as Bluegrass Community Health Center
Authorized official Fister, Susan
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 1st, 2007
Last updated Jul 25th, 2011 - about 13 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 1831386192 NPPES
Kentucky MEDICAID 31001118

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