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Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Other names
Medical Center Urgentcare
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE W LAWLESS (EXECUTIVE VICE PRESIDENT)
(270) 745-1500
Entity
Organization
Contact information
Practice address
291 NEW TOWNE RD, BOWLING GREEN, KY 42103-7996
(270) 796-3500
(270) 796-3598
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 796-3500
(270) 796-3598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KY
261QC1800X
Corporate Health Clinic/Center
—
KY
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000934857
ANTHEM
KY
05
—
7100378570
—
KY
05
—
7100378660
—
KY
Enumeration date
06/04/2015
Last updated
04/14/2023
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