# COMMONWEALTH HEALTH CORPORATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Center Urgentcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821478975
- **Authorized official:** MICHELE W LAWLESS (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (270) 745-1500

## Contact information

- **Practice address:** 291 NEW TOWNE RD, BOWLING GREEN, KY 42103-7996
- **Practice address phone:** (270) 796-3500
- **Practice address fax:** (270) 796-3598
- **Mailing address:** PO BOX 2697, BOWLING GREEN, KY 42102-7697
- **Mailing address phone:** (270) 796-3500
- **Mailing address fax:** (270) 796-3598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |
| 261QC1800X | Corporate Health Clinic/Center | — | KY | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | KY | — |
| 363LF0000X | Family Nurse Practitioner | — | KY | — |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 04/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000934857 | ANTHEM | KY |
| 05 | — | 7100378570 | — | KY |
| 05 | — | 7100378660 | — | KY |