Organization
BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, LLC
Active
Other names
BLUEGRASS OUTPATIENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G SOWELL (EXEC. VICE PRESIDENT)
(270) 745-1500
Entity
Organization
Contact information
Practice address
1020 S MAIN ST, FRANKLIN, KY 42134-2370
(270) 586-8947
(270) 713-0234
Mailing address
PO BOX 896114, CHARLOTTE, NC 28289-6114
(270) 586-8947
(270) 713-0234
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
100615
KY
Other
Enumeration date
02/14/2017
Last updated
06/19/2017
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