Organization · Type 2 NPI

Bluegrass Primary Health Care Center, Inc.

Federally Qualified Health Center (FQHC) · Lexington, KY

NPI number 1356972764 Active

Practice location

131 N Eagle Creek Dr
Lexington, KY 40509-1806

Call (859) 263-2507 Map

Fax (859) 254-7874

Mailing address

1306 Versailles Rd Ste 120
Lexington, KY 40504-1795

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

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NPI record

NPI: 1356972764
Entity type: Organization (Type 2)
Issued: Feb 4, 2020
Last updated: May 28, 2025
Status: Active

Other names

<unavail>
Bluegrass Community Health Center-Eagle Creek · doing business as
Bluegrass Community Health Center-Eagle Creek · doing business as
Bluegrass Community Health Center-Mobile Van 1 · doing business as

Authorized official

Mr. Enayet U Chowdhury
Chief Executive Officer
(859) 825-6869

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356972764

Bluegrass Primary Health Care Center, Inc.'s National Provider Identifier is 1356972764, issued on Feb 4, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lexington, KY. The record was last updated on May 28, 2025.