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NPI Code Detail

MEDICARE: BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION

MEDICARE: BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942990767
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Provider Business Mailing Address
First Line : PO BOX 117924
Second Line :
City : ATLANTA
State : GA
Zip : 30368-7924
Country : US
Telephone Number : 270-796-2557
Fax Number : 270-796-2559
Provider Business Practice Location Address
First Line : 350 PARK ST STE 206
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42101-1784
Country : US
Telephone Number : 270-782-9424
Fax Number : 270-782-9445
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT / CFO
Name : MICHELE LAWLESS
Credential :
Telephone Number : 270-745-1500
Provider Enumeration Date : 05/15/2023
Last Update Date : 06/06/2026

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Directions to “BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ” Practice Location

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