Allied Bluegrass Care Med Express Russell Springs Medical Associates

Organization Active NPI Family Medicine Physician · Columbia, KY

NPI 1386090900 · NPPES record last updated Jun 16, 2018

Key facts

NPI
1386090900
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
29482 (KY)
Legal business name
ALLIED BLUEGRASS CARE MED EXPRESS RUSSELL SPRINGS MEDICAL ASSOCIATES
Practice address
803 Burkesville St
Columbia, KY 42728-1655
Phone
(270) 318-3399
Fax
(270) 215-5527
NPI assigned
May 12, 2016
Organization subpart
No

Authorized official

Name
Dr. Viorel Boborodea, MD
Title
President
Phone
(270) 318-3399

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

850 Hail Knob Rd
#B
Somerset, KY 42503
Phone (270) 318-3399

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 29482 KY Yes

Addresses

Primary practice location

803 Burkesville St
Columbia, KY 42728-1655

Mailing address

PO Box 460
Columbia, KY 42728-0460
Phone (270) 318-3399

Other names

  • Allied Bluegrass Care Med Express PSC Doing business as
  • Russell Springs Medical Associates Doing business as

Other providers in Columbia, KY

All providers in Columbia, KY · Family Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.