Organization
BLUEGRASS PRIMARY HEALTH CARE CENTER, INC.
Active
Other names
Bluegrass Community Health Center-New Life
Organization subpart
No
Provider details
NPI number
Authorized official
ENAYET U CHOWDHURY (CHIEF EXECUTIVE OFFICER)
(859) 825-6869
Entity
Organization
Contact information
Practice address
224 N MARTIN LUTHER KING BLVD STE 200, LEXINGTON, KY 40507-2133
(859) 259-2635
Mailing address
1306 VERSAILLES RD STE 120, LEXINGTON, KY 40504-1795
(859) 259-2635
(859) 254-7874
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
04/24/2025
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