Organization
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Active
Other names
MEDEQUIP
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 A2, BOWLING GREEN, KY 42101-1786
(270) 780-2655
(270) 393-9932
Mailing address
PO BOX 1181, BOWLING GREEN, KY 42102-1181
(270) 780-2655
(270) 393-9932
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100404
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000174414
ANTHEM BLUECROSS/BLUE SHI
KY
01
—
45000379
MEDICAID EPSDT
KY
05
—
90531146
—
KY
Enumeration date
05/28/2006
Last updated
05/06/2025
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