Provider Demographics
NPI:1699457135
Name:BLUEGRASS MEDICAL & PUBLIC TRANSPORTATION
Entity type:Organization
Organization Name:BLUEGRASS MEDICAL & PUBLIC TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:COYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-200-9807
Mailing Address - Street 1:155 N KEENELAND DR STE 2
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8687
Mailing Address - Country:US
Mailing Address - Phone:859-624-0500
Mailing Address - Fax:
Practice Address - Street 1:155 N KEENELAND DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8687
Practice Address - Country:US
Practice Address - Phone:859-624-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)