Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluegrass Rural Health Clinic, PSC

Organization Internal Medicine Physician · NPI 1912162959

Bluegrass Rural Health Clinic, PSC is an Internal Medicine Physician in Manchester, Kentucky. Licensed in Kentucky. Registered with an NPI since 2008.

Licensed in
KY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2734 S Highway 421
Manchester, KY 40962-7515
Phone: (606) 658-2710
Fax: (606) 658-2712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 33372 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 255P (KY)

Record details

NPI number1912162959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kishore Jadhav — President · (606) 658-2710
NPI enumeratedJuly 18, 2008
Last updated in NPPESJuly 18, 2008
Mailing address151 N Eagle Creek Dr, Ste 12, Lexington, KY 40509-1889

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