Healthcare Provider Details

I. General information

NPI: 1356716575
Provider Name (Legal Business Name): BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S DIXIE ST
HORSE CAVE KY
42749-1480
US

IV. Provider business mailing address

PO BOX 117924
ATLANTA GA
30368-7924
US

V. Phone/Fax

Practice location:
  • Phone: 270-786-2191
  • Fax: 270-786-1557
Mailing address:
  • Phone: 270-786-2191
  • Fax: 270-786-1557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number600065
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateKY

VIII. Authorized Official

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