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Export Provider Record NPI 1215567474
Bluegrass Primary Health Care Center, Inc.
Organization Subpart: NO
Active
NPI Number1215567474
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Federally Qualified Health Center (FQHC)
Provider Details
NPI1215567474
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2020-01-16
Last Updated2025-05-28
Authorized OfficialEnayet Chowdhury
Chief Executive Officer
Phone: 8598256869
Mailing Address1306 Versailles Rd Ste 120
Lexington, KY 40504-1795
United States
Phone: (859) 259-2635 | Fax: (859) 254-7874
📍 View Map
Primary Practice Address1306 Versailles Rd Ste 120
Lexington, KY 40504-1795
United States
Phone: (859) 259-2635 | Fax: (859) 254-7874
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC)--
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About NPI 1215567474

Bluegrass Primary Health Care Center, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1215567474. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Lexington, KY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-01-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1215567474?

NPI 1215567474 belongs to Bluegrass Primary Health Care Center, Inc., a Clinic/Center, Federally Qualified Health Center (FQHC) in Lexington, KY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1215567474 active?

The current status of NPI 1215567474 in the NPPES registry is Active. The record was last updated on 2025-05-28.

What specialty is NPI 1215567474?

NPI 1215567474 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1215567474?

You can verify NPI 1215567474 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1215567474?

The primary practice address on file for NPI 1215567474 is 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1215567474 issued?

NPI 1215567474 was first issued (enumerated) on 2020-01-16. The NPPES record was last updated on 2025-05-28.

Practice Location Map

Bluegrass Primary Health Care Center, Inc. is located at 1306 Versailles Rd Ste 120, Lexington, KY. Use the map below to find directions or verify the practice location.

📍 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Bluegrass Primary Health Care Center, Inc.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162