Organization
COMMONWEALTH HEALTH CORPORATION, INC
Active
Other names
StayWell Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LAWLESS (EXEC. VICE PRESIDENT / CFO)
(270) 796-5591
Entity
Organization
Contact information
Practice address
427 US 31W BYP STE 204, BOWLING GREEN, KY 42101-1703
(270) 721-7166
(270) 796-6860
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 721-7166
(270) 796-6860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/19/2021
Last updated
11/03/2021
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