| Bluegrass Rural Health Clinic, Psc | |
|
2734 S Highway 421 Manchester KY 40962-7515 | |
| (606) 658-2710 | |
| (606) 658-2712 |
| Full Name | Bluegrass Rural Health Clinic, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2734 S Highway 421, Manchester, Kentucky |
| Authorized Official Name and Position | Kishore Jadhav (PRESIDENT) |
| Authorized Official Contact | 6066582710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Rural Health Clinic, Psc 151 N Eagle Creek Dr Ste 12 Lexington KY 40509-1889 Ph: (859) 263-4341 | Bluegrass Rural Health Clinic, Psc 2734 S Highway 421 Manchester KY 40962-7515 Ph: (606) 658-2710 |
| NPI Number | 1912162959 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 07/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912162959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 33372 (Kentucky) | Primary |
| 363L00000X | Nurse Practitioner | 255P (Kentucky) | Secondary |
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