Organization
BLUEGRASS PRIMARY HEALTH CARE CENTER, INC.
Active
Other names
Bluegrass Community Health Center-Centro de San Juan Diego Clinica
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENAYET U CHOWDHURY (CEO)
(859) 825-6869
Entity
Organization
Contact information
Practice address
1389 ALEXANDRIA DR STE 1, LEXINGTON, KY 40504-1701
(859) 259-2635
Mailing address
1306 VERSAILLES RD STE 120, LEXINGTON, KY 40504-1795
(859) 259-2635
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/28/2025
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