BLUE GRASS DEPOT AHC
NPI 1104032754
Clinic/Center - Military/U.S. Coast Guard Outpatient in Richmond, KY
NPI Status: Active since May 14, 2007
Contact Information
2091 KINGSTON HWY
ATTN BLUE GRASS HEALTH CLINIC
RICHMOND, KY
ZIP 40475
Phone: (502) 624-9333
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
- CLIA Number: 18D2241710
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 10-31-2025
About BLUE GRASS DEPOT AHC
This page provides the complete NPI Profile along with additional information for Blue Grass Depot Ahc, a provider established in Richmond, Kentucky operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1104032754 assigned on May 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Blue Grass Depot Ahc. The authorized official of this NPI record is Barbara Hornback (Ubo Manager)
- NPI
- 1104032754
- Provider Legal Name
- IRELAND ARMY COMMUNITY HOSPITAL
- Other Organization Name
- BLUE GRASS DEPOT AHC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2091 KINGSTON HWY ATTN BLUE GRASS HEALTH CLINIC RICHMOND, KY 40475
- Location Phone
- (502) 624-9333
- Mailing Address
- 289 IRELAND AVE ATTN: TREASURERS OFFICE FORT KNOX, KY 40121
- Mailing Phone
- (502) 624-9274
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-14-2007
- Last Update Date
- 04-01-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Military/U.S. Coast Guard Outpatient
- Taxonomy Code
- 261QM1100X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| VAD000 | MEDICARE UPIN (02) | ||
| 1891899274 | OTHER (01) | PARENT FACILITY IRELAND ACH NPI | |
| OTH000 | MEDICARE UPIN (02) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D2241710
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- November 01, 2023
- Certificate Expiration Date
- October 31, 2025
- Laboratory Director
- MS. MICHELLE L. REGIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Blue Grass Depot Ahc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104032754, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104032754, enumerated as an "organization" on May 14, 2007.
The provider is located at 2091 KINGSTON HWY ATTN BLUE GRASS HEALTH CLINIC RICHMOND, KY 40475 and the phone number is (502) 624-9333.
Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
