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Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Other names
Med Center Health Primary Care Elkton
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE W LAWLESS (EXECUTIVE VICE PRESIDENT & CFO)
(270) 745-1500
Entity
Organization
Contact information
Practice address
118 S MAIN ST, ELKTON, KY 42220-8863
(270) 265-5023
(270) 265-5026
Mailing address
PO BOX 117914, ATLANTA, GA 30368-7914
(270) 265-5023
(270) 265-5026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101064090
—
KY
Enumeration date
07/01/2024
Last updated
06/06/2026
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