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Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Other names
MED CENTER HEALTH VEIN CLINIC
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
825 2ND AVE STE B2, BOWLING GREEN, KY 42101-1790
(270) 796-3535
(270) 467-2609
Mailing address
PO BOX 117914, ATLANTA, GA 30368-7914
(270) 796-3535
(270) 467-2609
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100507510
—
KY
05
—
7100513890
—
KY
Enumeration date
02/01/2018
Last updated
06/06/2026
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