New Vista Of The Bluegrass Inc | |
110 Roach St Georgetown KY 40324-9393 | |
(859) 253-1686 | |
(859) 254-2743 |
Full Name | New Vista Of The Bluegrass Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 110 Roach St, Georgetown, Kentucky |
Authorized Official Name and Position | Dee Werline (PRESIDENT/CEO) |
Authorized Official Contact | 8592531686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New Vista Of The Bluegrass Inc 1351 Newtown Pike Lexington KY 40511-1217 Ph: (859) 253-1686 | New Vista Of The Bluegrass Inc 110 Roach St Georgetown KY 40324-9393 Ph: (859) 253-1686 |
NPI Number | 1598705568 |
---|---|
Provider Enumeration Date | 06/07/2006 |
Last Update Date | 10/12/2020 |
Certification Date | 10/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598705568 | NPI | - | NPPES |
30615058 | Medicaid | KY | |
101483 | Other | KY | CHA INSURANCE |
203669000 | Other | KY | MAGELLAN 116 |
29000003 | Medicaid | KY | |
28015014 | Medicaid | KY | |
33900119 | Medicaid | KY | |
000000057414 | Other | KY | ANTHEM |
27015015 | Medicaid | KY | |
091018 | Other | KY | VALUE OPTIONS |
242395 | Other | KY | COMPSYCH |
874068 | Other | KY | USA |
207023 | Other | KY | MHN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 800121 (Kentucky) | Primary |
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