Organization Active NPI

Bluegrass Outpatient Center of Bowling Green, LLC

Doing business as Bluegrass Outpatient Center

  • Rehabilitation Clinic/Center
  • Franklin, KY
National Provider Identifier
1477092260
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
100615 Issued in KY
Legal business name
BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, LLC
Doing business as
Bluegrass Outpatient Center
Practice address
1020 S Main St
Franklin, KY 42134-2370
Phone
(270) 586-8947
Fax
(270) 713-0234
NPI assigned
Feb 14, 2017
Last updated
Jun 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald G Sowell
Title
Exec. Vice President
Phone
(270) 745-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 100615 KY Primary

Addresses

Primary practice location

1020 S Main St
Franklin, KY 42134-2370

Mailing address

PO Box 896114
Charlotte, NC 28289-6114
Phone (270) 586-8947

Other names 1

  • BLUEGRASS OUTPATIENT CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1477092260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896114",
            "telephone_number": "270-586-8947",
            "fax_number": "270-713-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S MAIN ST",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421342370",
            "telephone_number": "270-586-8947",
            "fax_number": "270-713-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "SOWELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXEC. VICE PRESIDENT",
        "authorized_official_telephone_number": "270-745-1500"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "KY",
            "license": "100615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUEGRASS OUTPATIENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.