Bluegrass Urgent Care Llc

LBN: Bluegrass Urgent Care Llc
Bluegrass Urgent Care Llc is an health care organization with primary practice located at 625 Chestnut Dr Suite 106, Walton KY 41094-7845. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Urgent Care, Laboratories / Clinical Medical Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Bluegrass Urgent Care Llc can be contacted via phone (859) 485-7900, or through So, Robert via phone (859) 485-7900.

Contact Information

Primary practice address
625 Chestnut Dr Suite 106 Walton KY 41094-7845
Phone: (859) 485-7900
Fax: (859) 485-7920
Website:
Map and Directions
Authorized official contact:
Name: So, Robert Doctor of Medicine (MD)
Phone: (859) 485-7900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1104106954
LBN Legal business name Bluegrass Urgent Care Llc
DBA Doing business as
Authorized official So, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2011
Last updated Jul 19th, 2024 - about last year

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 1104106954 NPPES
Kentucky MEDICAID 7100217560
Kentucky MEDICAID 0144553
Kentucky MEDICAID 7100356480

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