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Organization

WOODFORD HOSPITAL LLC

Active
Parent organization
WOODFORD HOSPITAL LLC
Other names
Bluegrass Community Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
WOODFORD HOSPITAL LLC
Authorized official
WILLIAM M. GRACEY (CHIEF OPERATING OFFICER)
(615) 372-8500
Entity
Organization

Contact information

Practice address
360 AMSDEN AVE, VERSAILLES, KY 40383-1851
(859) 873-3111
Mailing address
103 POWELL CT, SUITE 200, BRENTWOOD, TN 37027-5079

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000260987
BLUECROSS
Enumeration date
02/14/2007
Last updated
09/09/2008
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