BLUEGRASS REGIONAL HEALTHCARE
NPI 1609994789
Nurse Practitioner - Family in Beaver Dam, KY

Active since March 27, 2007
1307 N MAIN ST, BEAVER DAM, KY 42320(270) 274-9222(270) 274-0696 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bluegrass Regional Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUEGRASS REGIONAL HEALTHCARE (NPI 1609994789) is a healthcare organization registered as a family in Beaver Dam, Kentucky and active in the NPI registry since March 2007. The organization lists Susan Matthews, Owner, Provider, as its authorized official.

NPPES Registry Identity

NPI1609994789
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBLUEGRASS REGIONAL HEALTHCARE
Location Address1307 N MAIN STBeaver Dam, KY 42320-8957
Mailing Address1307 N Main StBeaver Dam, KY 42320-8957 · (270) 274-9222 · Fax (270) 274-0696
Fax(270) 274-0696
Organization SubpartNo
Authorized OfficialSusan MatthewsOwner, Provider · (270) 274-9222
Enumeration DateMarch 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1609994789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 2835P
1307 N MAIN ST, Beaver Dam, KY 42320

Other Identifiers 2

Medicaid78006764KY
Other2835PKY · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1307 N MAIN ST
BEAVER DAM, KY 42320
Nurse Practitioner (Family)
1307 N MAIN ST
BEAVER DAM, KY 42320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluegrass Regional Healthcare's NPI number?

The NPI number for Bluegrass Regional Healthcare is 1609994789. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Bluegrass Regional Healthcare located?

Bluegrass Regional Healthcare is located at 1307 N Main St, Beaver Dam, KY 42320. The listed phone number is (270) 274-9222.

What is Bluegrass Regional Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bluegrass Regional Healthcare was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.