NPI Code Details Logo

NPI 1003863614

NPI 1003863614 : BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION : BOWLING GREEN, KY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1003863614
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/28/2006
-----------------------------------------------------
    Last Update Date     |    05/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    825 2ND AVE STE A2
-----------------------------------------------------
    City                 |    BOWLING GREEN
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    42101-1786
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    270-780-2655
-----------------------------------------------------
    Fax                  |    270-393-9932
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 1181 
-----------------------------------------------------
    City                 |    BOWLING GREEN
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    42102-1181
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    270-780-2655
-----------------------------------------------------
    Fax                  |    270-393-9932
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EXECUTIVE VICE PRESIDENT/CFO
-----------------------------------------------------
    Name                 |     MICHELE W LAWLESS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    270-745-1500
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332BP3500X
-----------------------------------------------------
    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    100404
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.