Provider Demographics
NPI:1225586761
Name:BLUEGRASS TECHNOLOGY CENTER
Entity Type:Organization
Organization Name:BLUEGRASS TECHNOLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-294-4343
Mailing Address - Street 1:817 WINCHESTER RD
Mailing Address - Street 2:200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-3752
Mailing Address - Country:US
Mailing Address - Phone:859-294-4343
Mailing Address - Fax:
Practice Address - Street 1:817 WINCHESTER RD
Practice Address - Street 2:200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-3752
Practice Address - Country:US
Practice Address - Phone:859-294-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty