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)CodeLicenseStatePrimary
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 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2017.

{
    "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

All providers in Franklin, KY · Rehabilitation Clinic/Center in Kentucky

Sources for this page

Verify at the official NPI Registry.