BLUEGRASS MEDICAL CARE LLC
NPI 1659860807
Clinic/Center - Primary Care in Bowling Green, KY

Active since May 03, 2018CLIA 18D2270478 · Waiver
4863B SCOTTSVILLE RD, BOWLING GREEN, KY 42104(270) 843-5662(270) 843-5614 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bluegrass Medical Care Llc NPPES

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

BLUEGRASS MEDICAL CARE LLC (NPI 1659860807) is a healthcare organization registered as a primary care in Bowling Green, Kentucky and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists Steve A Jessee, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1659860807
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBLUEGRASS MEDICAL CARE LLC
Location Address4863B SCOTTSVILLE RDBowling Green, KY 42104-7909
Mailing Address4863b Scottsville RdBowling Green, KY 42104-7909 · (270) 843-5662 · Fax (270) 843-5614
Fax(270) 843-5614
Organization SubpartNo
Authorized OfficialSteve A JesseeBusiness Manager · (270) 670-3520
Enumeration DateMay 3, 2018
NPI 1659860807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4863B SCOTTSVILLE RD, Bowling Green, KY 42104

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2270478

Bluegrass Med Care · Bowling Green, KY
Active · expires Oct 16, 2026
CLIA Number18D2270478
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorDr. Rosalie Padilla
Laboratory Phone(270) 843-5662
Laboratory LocationBluegrass Med Care4863 B Scottsville Rd, Bowling Green, KY 42104
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
4863B SCOTTSVILLE RD
BOWLING GREEN, KY 42104
Family Medicine
4863B SCOTTSVILLE RD
BOWLING GREEN, KY 42104
Nurse Practitioner
4863B SCOTTSVILLE RD
BOWLING GREEN, KY 42104
Physician Assistant
4863B SCOTTSVILLE RD
BOWLING GREEN, KY 42104

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 Medical Care LLC's NPI number?

The NPI number for Bluegrass Medical Care LLC is 1659860807. It was assigned to this organization in the NPPES registry on May 3, 2018.

Where is Bluegrass Medical Care LLC located?

Bluegrass Medical Care LLC is located at 4863B Scottsville Rd, Bowling Green, KY 42104. The listed phone number is (270) 843-5662.

What is Bluegrass Medical Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Bluegrass Medical Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2270478) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bluegrass Medical Care LLC was last updated on May 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.