# COMMONWEALTH HEALTH CORPORATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MED CENTER HEALTH VEIN CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568960862
- **Authorized official:** MICHELE W LAWLESS (EXECUTIVE VICE PRESIDENT & CFO)
- **Authorized official phone:** (270) 745-1500

## Contact information

- **Practice address:** 825 2ND AVE STE B2, BOWLING GREEN, KY 42101-1790
- **Practice address phone:** (270) 796-3535
- **Practice address fax:** (270) 467-2609
- **Mailing address:** PO BOX 117914, ATLANTA, GA 30368-7914
- **Mailing address phone:** (270) 796-3535
- **Mailing address fax:** (270) 467-2609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/01/2018
- **Last updated:** 06/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100507510 | — | KY |
| 05 | — | 7100513890 | — | KY |