Healthcare Provider Details

I. General information

NPI: 1356326615
Provider Name (Legal Business Name): MEDICAL CENTER EMS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 3RD AVE
BOWLING GREEN KY
42101-1251
US

IV. Provider business mailing address

PO BOX 117920
ATLANTA GA
30368-7920
US

V. Phone/Fax

Practice location:
  • Phone: 270-745-1244
  • Fax: 270-745-1207
Mailing address:
  • Phone: 270-745-1244
  • Fax: 270-745-1207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1077
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

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