MEDICARE: BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208600000X	Surgery Physician
2	207V00000X	Obstetrics & Gynecology Physician
3	363A00000X	Physician Assistant
4	207X00000X	Orthopaedic Surgery Physician
5	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
6	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
7	207T00000X	Neurological Surgery Physician
8	363LF0000X	Family Nurse Practitioner
9	207RP1001X	Pulmonary Disease Physician
10	207Q00000X	Family Medicine Physician
11	207QS0010X	Sports Medicine (Family Medicine) Physician
12	2086S0129X	Vascular Surgery Physician
13	207RG0100X	Gastroenterology Physician
14	207RI0011X	Interventional Cardiology Physician
15	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932907144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 117924
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-7924
Country	:	US
Telephone Number	:	270-261-5640
Fax Number	:	270-261-5643

Provider Business Practice Location Address
First Line	:	401 S L ROGERS WELLS BLVD
Second Line	:
City	:	GLASGOW
State	:	KY
Zip	:	42141
Country	:	US
Telephone Number	:	270-261-5640
Fax Number	:	270-261-5643

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT & CFO
Name	:	MICHELE LAWLESS
Credential	:
Telephone Number	:	270-745-1500

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	06/06/2026

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