Organization
BLUEGRASS MED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LANHAM (OWNER)
(270) 843-5662
Entity
Organization
Contact information
Practice address
4863 SCOTTSVILLE RD STE B, BOWLING GREEN, KY 42104-7949
(270) 843-5662
(270) 843-5614
Mailing address
4863 SCOTTSVILLE RD STE B, BOWLING GREEN, KY 42104-7949
(270) 843-5662
(270) 843-5614
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64250715
—
KY
05
—
7100561960
—
KY
05
—
7100796090
—
KY
Enumeration date
10/12/2022
Last updated
10/12/2022
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