Bluegrass Community Health Center

LBN: Eastern Kentucky University
Bluegrass Community Health Center is an health care organization with primary practice located at 1306 Versailles Rd Suite 120, Lexington KY 40504-1117. 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) 259-0717, or through Fister, Susan G. via phone (859) 259-0717.

Contact Information

Primary practice address
1306 Versailles Rd Suite 120 Lexington KY 40504-1117
Phone: (859) 259-0717
Fax: (859) 254-7874
Website:
Map and Directions
Authorized official contact:
Name: Fister, Susan G. PH.D
Phone: (859) 259-0717

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 700160 Kentucky

Profile Details

NPI number 1164460051
LBN Legal business name Eastern Kentucky University
DBA Doing business as Bluegrass Community Health Center
Authorized official Fister, Susan G. PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164460051 NPPES
Kentucky Other 000000537566 ANTHEM
Kentucky MEDICAID 31001118 ANTHEM
Kentucky Other 9968164 ANTHEM

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