Healthcare Provider Details

I. General information

NPI: 1366832289
Provider Name (Legal Business Name): HEALTHFIRST BLUEGRASS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2015
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 E THIRD ST STE 170
LEXINGTON KY
40508-2251
US

IV. Provider business mailing address

PO BOX 39597
BELFAST ME
04915-1249
US

V. Phone/Fax

Practice location:
  • Phone: 859-288-2478
  • Fax: 859-288-2331
Mailing address:
  • Phone: 859-288-2425
  • Fax: 859-288-7510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP07672
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: WAYNE LINSCOTT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 859-288-2425