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Bluegrass Urgent Care LLC

Urgent Care Clinic/Center in Walton, KY · enumerated 2011 · authorized official Robert So, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104106954

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Registry record

Entity type Organization (Type 2)
Legal business name Bluegrass Urgent Care LLC
Practice address 625 Chestnut Dr, Suite 106, Walton, KY, 41094
Phone (859) 485-7900
Fax (859) 485-7920
Enumeration date Aug 25, 2011
Last updated in NPPES Oct 4, 2024

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Primary
291U00000X Clinical Medical Laboratory Laboratories Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Robert So
Title Medical Director
Phone (859) 485-7900

Other identifiers

Identifier Type State Issuer
7100356480 Medicaid KY -
0111587 Medicaid OH -
0144553 Medicaid OH -
2274177 Medicaid OH -
7100108440 Medicaid KY -
7100204520 Medicaid KY -
7100217560 Medicaid KY -
7100351060 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bluegrass Urgent Care LLC?
The NPI for Bluegrass Urgent Care LLC is 1104106954, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bluegrass Urgent Care LLC?
NPPES lists Robert So (Medical Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-04.