Organization Active NPI

Woodford Hospital LLC

  • Clinical Medical Laboratory
  • Versailles, KY
National Provider Identifier
1942342845
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000260987OtherBLUECROSS

Other names 1

  • Bluegrass Community Hospital Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0934802Womens Care of the Bluegrass - Versailles360 Amsden Avenue, Suite 200, Versailles, KY 40383Provider-performed microscopyOct 15, 2027
18D2281878Kentucky Mso, LLC Dba Bluegrass Business Health -360 Amsden Avenue, Suite 305, Versailles, KY 40383Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Woodford Hospital LLC2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.