Active NPI
Woodford Hospital LLC
- Clinical Medical Laboratory
- Versailles, KY
National Provider Identifier
1942342845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- WOODFORD HOSPITAL LLC
- Doing business as
- Bluegrass Community Hospital
- Practice address
- 360 Amsden Ave
Versailles, KY 40383-1851 - Phone
- (859) 873-3111
- NPI assigned
- Feb 14, 2007
- Organization subpart
- Yes
- Parent organization
- WOODFORD HOSPITAL LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William M. Gracey
- Title
- Chief Operating Officer
- Phone
- (615) 372-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
360 Amsden Ave
Versailles, KY 40383-1851
Mailing address
103 Powell CT
Suite 200
Brentwood, TN 37027-5079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000260987 | Other | BLUECROSS |
Other names 1
- Bluegrass Community Hospital
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0934802 | Womens Care of the Bluegrass - Versailles | Provider-performed microscopy | Oct 15, 2027 |
| 18D2281878 | Kentucky Mso, LLC Dba Bluegrass Business Health - | Certificate of waiver | May 11, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Woodford Hospital LLC
- Part of
- Woodford Hospital LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Critical Access Hospital
- Versailles, KY
- NPI 1588745012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1942342845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 POWELL CT",
"address_2": "SUITE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 AMSDEN AVE",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831851",
"telephone_number": "859-873-3111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODFORD HOSPITAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WOODFORD HOSPITAL LLC",
"enumeration_date": "2007-02-14",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "GRACEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "615-372-8500"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "000000260987",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bluegrass Community Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Versailles, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.