Provider Demographics
NPI:1558126730
Name:BLUEGRASS PARTNERS IN HEALTH, PSC
Entity Type:Organization
Organization Name:BLUEGRASS PARTNERS IN HEALTH, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELEIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUR OLIVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-539-1996
Mailing Address - Street 1:209 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-1213
Mailing Address - Country:US
Mailing Address - Phone:224-300-6568
Mailing Address - Fax:859-216-3246
Practice Address - Street 1:209 N MAIN ST
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1213
Practice Address - Country:US
Practice Address - Phone:224-300-6568
Practice Address - Fax:859-216-3246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty