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 90010, BOWLING GREEN, KY 42102-9010
(270) 745-1100
(270) 745-1156
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
05/08/2025
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