Organization
BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, L.L.C.
Active
Other names
BLUEGRASS OUTPATIENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE W LAWLESS (EXECUTIVE VICE PRESIDENT)
(270) 745-1500
Entity
Organization
Contact information
Practice address
1751 SCOTTSVILLE RD STE 9, BOWLING GREEN, KY 42104-3357
(270) 796-6850
(270) 781-8228
Mailing address
PO BOX 9961, BOWLING GREEN, KY 42102-4961
(270) 745-1100
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
100615
KY
Other
Enumeration date
07/03/2006
Last updated
08/25/2022
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