Healthcare Provider Details

I. General information

NPI: 1003863614
Provider Name (Legal Business Name): BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 2ND AVE STE A2
BOWLING GREEN KY
42101-1786
US

IV. Provider business mailing address

PO BOX 117924
ATLANTA GA
30368-7924
US

V. Phone/Fax

Practice location:
  • Phone: 270-780-2655
  • Fax: 270-393-9932
Mailing address:
  • Phone: 270-780-2655
  • Fax: 270-393-9932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number100404
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

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