Organization
BLUEGRASS RURAL HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP PARKER CRACE M.D. (OWNER)
(606) 312-2263
Entity
Organization
Contact information
Practice address
8158 N US HIGHWAY 23, LOWMANSVILLE, KY 41232-9204
(606) 312-2263
Mailing address
8158 N US HIGHWAY 23, LOWMANSVILLE, KY 41232-9204
(606) 312-2263
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
41691
KY
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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