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Organization

BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION

Active
Other names
FOUNTAIN RUN RURAL HEALTH CLINIC, MED CENTER HEALTH PRIMARY CARE FOUNTAIN RUN
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
47 AKERSVILLE ROAD, FOUNTAIN RUN, KY 42133-7910
(270) 434-4857
(270) 434-4957
Mailing address
PO BOX 3560, BOWLING GREEN, KY 42102-3560
(270) 434-4857
(270) 434-4957

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900080
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100154270
KY
Enumeration date
05/03/2010
Last updated
05/06/2025
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