Healthcare Provider Details

I. General information

NPI: 1396715967
Provider Name (Legal Business Name): UHS OF BOWLING GREEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 01/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 PORTER PIKE RD
BOWLING GREEN KY
42103-9581
US

IV. Provider business mailing address

1035 PORTER PIKE RD
BOWLING GREEN KY
42103-9581
US

V. Phone/Fax

Practice location:
  • Phone: 270-843-1199
  • Fax:
Mailing address:
  • Phone: 270-843-1199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number100564
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number100564
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number100564
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code283XC2000X
TaxonomyChildren's Rehabilitation Hospital
License Number100564
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number100564
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number100564
License Number StateKY
# 7
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number100564
License Number StateKY

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO SR VP
Credential:
Phone: 610-768-3300