Provider Demographics
NPI:1902364607
Name:BLUEGRASS HEARING INSTITUTE, PSC
Entity Type:Organization
Organization Name:BLUEGRASS HEARING INSTITUTE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKDESSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-745-1010
Mailing Address - Street 1:225 HOSPITAL DR STE 265
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-7645
Mailing Address - Country:US
Mailing Address - Phone:859-745-1010
Mailing Address - Fax:859-745-0080
Practice Address - Street 1:225 HOSPITAL DR STE 265
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-7645
Practice Address - Country:US
Practice Address - Phone:859-745-1010
Practice Address - Fax:859-745-0080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty