Healthcare Provider Details

I. General information

NPI: 1922423359
Provider Name (Legal Business Name): HEALTHFIRST BLUEGRASS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2014
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 W LOUDON AVE
LEXINGTON KY
40508-3729
US

IV. Provider business mailing address

PO BOX 39597
BELFAST ME
04915-1249
US

V. Phone/Fax

Practice location:
  • Phone: 859-288-2425
  • Fax: 859-721-3918
Mailing address:
  • Phone: 859-288-2425
  • Fax: 859-288-7510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateKY

VIII. Authorized Official

Name: WAYNE LINSCOTT
Title or Position: CEO
Credential:
Phone: 859-288-2425