Healthcare Provider Details

I. General information

NPI: 1710906565
Provider Name (Legal Business Name): BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

456 BURNLEY RD
SCOTTSVILLE KY
42164-6355
US

IV. Provider business mailing address

PO BOX 3560
BOWLING GREEN KY
42102-3560
US

V. Phone/Fax

Practice location:
  • Phone: 270-622-2821
  • Fax: 270-622-2208
Mailing address:
  • Phone: 270-622-2826
  • Fax: 270-622-2209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number600076
License Number StateKY

VIII. Authorized Official

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