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Primary Care of the Bluegrass, LLC

Primary Care Clinic/Center in Crab Orchard, KY · enumerated 2008 · authorized official Brittany Underwood, Credentialing Agent.

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

National Provider Identifier

1942463096

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Registry record

Entity type Organization (Type 2)
Legal business name Primary Care of the Bluegrass, LLC
Other name <Unavail>
Practice address 29 Main St, Crab Orchard, KY, 40419
Phone (606) 355-7800
Fax (606) 355-7803
Enumeration date Jul 9, 2008
Last updated in NPPES Sep 2, 2021

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 700193 (KY) Primary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License 900266 (KY) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Brittany Underwood
Title Credentialing Agent
Phone (859) 303-8746

Other identifiers

Identifier Type State Issuer
7100043870 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 Primary Care of the Bluegrass, LLC?
The NPI for Primary Care of the Bluegrass, LLC is 1942463096, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Primary Care of the Bluegrass, LLC?
NPPES lists Brittany Underwood (Credentialing Agent) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-02.