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Organization

BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION

Active
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Organization

BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION

Active
Other names
Medical Center Psychiatry
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE LAWLESS (EXECUTIVE VICE PRESIDENT / CFO)
(270) 745-1500
Entity
Organization

Contact information

Practice address
350 PARK ST, 204, BOWLING GREEN, KY 42101-1784
(270) 843-5103
(270) 843-5104
Mailing address
PO BOX 117924, ATLANTA, GA 30368-7924
(270) 843-5103
(270) 843-5104

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
KY
1041C0700X
Clinical Social Worker
KY
2084P0800X
Psychiatry Physician
Primary
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000928950
ANTHEM
KY
05
7100342580
KY
05
7100342590
KY
05
7100346960
KY
05
7100365240
KY
Enumeration date
02/27/2015
Last updated
06/06/2026
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