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Contact Information

BLUEGRASS REGIONAL FOOT AND ANKLE ASSOCIATES P S C
1105 W 5TH ST
#3
LONDON, KY40741-1610
 Phone: 606-862-9900
 Fax: 606-862-8901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BLUEGRASS REGIONAL FOOT AND ANKLE ASSOCIATES P S C

NPI # 1730180571
LBN Legal business name BLUEGRASS REGIONAL FOOT AND ANKLE ASSOCIATES P S C
Authorized official DANIEL ALBERTSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2005
Last updated 05/07/2019 - About 7 years ago
Identifiers
KY License # 1730180571
KY Medicaid 78902731
KY Medicaid 80900160
KY Medicaid 90005737
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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