BLUEGRASS URGENT CARE LLC

Obstetrics & Gynecology

Code: 207V00000X

General Practice

Code: 208D00000X

Clinic/Center — Urgent Care

Code: 261QU0200X

Clinical Medical Laboratory

Code: 291U00000X

Durable Medical Equipment & Medical Supplies

Code: 332B00000X

Physician Assistant

Code: 363A00000X

Nurse Practitioner

Code: 363L00000X