Crab Orchard Primary Care
LBN: Primary Care Of The Bluegrass, Llc
Crab Orchard Primary Care is an health care organization with primary practice located at 29 Main St , Crab Orchard KY 40419-6548. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Primary Care Of The Bluegrass, Llc can be contacted via phone (606) 355-7800, or through Underwood, Brittany via phone (859) 303-8746.
Contact Information
Primary practice address
29 Main St
Crab Orchard KY 40419-6548
Phone: (606) 355-7800
Fax: (606) 355-7803
Website:
Authorized official contact:
Name: Underwood, Brittany Doctor of Osteopathy (DO)
Phone: (859) 303-8746
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 700193 | Kentucky |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 900266 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1942463096 |
|---|---|
| LBN Legal business name | Primary Care Of The Bluegrass, Llc |
| DBA Doing business as | Crab Orchard Primary Care |
| Authorized official | Underwood, Brittany Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2008 |
| Last updated | Sep 2nd, 2021 - about 3 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 | 1942463096 | NPPES |
| Kentucky | MEDICAID | 7100043870 |
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