# BLUEGRASS I.V. CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bluegrass Home Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417037094
- **Authorized official:** MR. GARY S RUSSELL RPH (PRESIDENT)
- **Authorized official phone:** (270) 825-2775

## Contact information

- **Practice address:** 1128 N MAIN ST, SUITE 2, MADISONVILLE, KY 42431-1265
- **Practice address phone:** (270) 825-9661
- **Practice address fax:** (270) 825-3692
- **Mailing address:** 1128 N MAIN ST, SUITE 2, MADISONVILLE, KY 42431-1265
- **Mailing address phone:** (270) 825-9661
- **Mailing address fax:** (270) 825-3692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | MG0250 | KY | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 10/13/2009