| Women's Care Of The Bluegrass | |
|
120 Progress Way Owenton KY 40359-6032 | |
| (502) 227-2229 | |
| (502) 227-1114 |
| Full Name | Women's Care Of The Bluegrass |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 120 Progress Way, Owenton, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708642889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Women's Care Of The Bluegrass Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 864-1472 | Women's Care Of The Bluegrass 120 Progress Way Owenton KY 40359-6032 Ph: (502) 227-2229 |
| NPI Number | 1104233691 |
|---|---|
| Provider Enumeration Date | 07/16/2014 |
| Last Update Date | 07/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104233691 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700172 (Kentucky) | Primary |
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