Healthcare Provider Details

I. General information

NPI: 1043293608
Provider Name (Legal Business Name): BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PARK ST
BOWLING GREEN KY
42101-1760
US

IV. Provider business mailing address

PO BOX 117924
ATLANTA GA
30368-7924
US

V. Phone/Fax

Practice location:
  • Phone: 270-745-1000
  • Fax: 270-842-0765
Mailing address:
  • Phone: 270-745-1000
  • Fax: 270-745-1156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number100404
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number100101
License Number StateKY

VIII. Authorized Official

Name: MICHELE W LAWLESS
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 270-745-1500