Bluegrass Outpatient Center of Bowling Green, LLC
Organization Active NPI Rehabilitation Clinic/Center · Franklin, KY
NPI 1477092260 · NPPES record last updated Jun 19, 2017
Key facts
- NPI
- 1477092260
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- License
- 100615 (KY)
- Legal business name
- BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, LLC
- Practice address
- 1020 S Main St
Franklin, KY 42134-2370 - Phone
- (270) 586-8947
- Fax
- (270) 713-0234
- NPI assigned
- Feb 14, 2017
- Organization subpart
- No
Authorized official
- Name
- Ronald G Sowell
- Title
- Exec. Vice President
- Phone
- (270) 745-1500
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 100615 | KY | Yes |
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
- BLUEGRASS OUTPATIENT CENTER
NPI Registry JSON
{
"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
- John D Beierle
- Brandi Berry
- BG Taxi LLC
- Bio-Medical Applications of Kentucky, Inc.
- Monica Blair
- Heather Booher
- Kathryn Bowers
- Bowling Green-Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
All providers in Franklin, KY · Rehabilitation Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.