Organization
BLUEGRASS MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE A JESSEE (BUSINESS MANAGER)
(270) 670-3520
Entity
Organization
Contact information
Practice address
4863B SCOTTSVILLE RD, BOWLING GREEN, KY 42104-7909
(270) 843-5662
(270) 843-5614
Mailing address
4863B SCOTTSVILLE RD, BOWLING GREEN, KY 42104-7909
(270) 843-5662
(270) 843-5614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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