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BLUEGRASS INPATIENT GROUP PLLC

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Company Details

Name: BLUEGRASS INPATIENT GROUP PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 11 Jun 2024 (a year ago)
Organization Date: 11 Jun 2024 (a year ago)
Managed By: Members
Organization Number: 1371006
ZIP code: 40503
City: Lexington
Primary County: Fayette County
Principal Office: 811 CORPORATE DRIVE, SUITE 205, LEXINGTON, KY 40503
Place of Formation: KENTUCKY

Registered Agent

Name Role
LIZ BAILEY Registered Agent

Organizer

Name Role
LIZ BAILEY Organizer

National Provider Identifier

NPI Number:
1477375608
Certification Date:
2024-10-29

Authorized Person:

Name:
FADI BACHA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8593687681

Filings

Name File Date
Articles of Organization (LLC) 2024-06-10

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Sources: Kentucky Secretary of State