Organization
COMMONWEALTH HEALTH FREE CLINIC, INC.
Active
Other names
COMMUNITY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD G SOWELL (EXECUTIVE VICE PRESIDENT)
(270) 745-1500
Entity
Organization
Contact information
Practice address
740 E 10TH AVE, BOWLING GREEN, KY 42101-2318
(270) 781-9260
(270) 782-6461
Mailing address
PO BOX 9577, BOWLING GREEN, KY 42102-9577
(270) 781-9260
(270) 782-6461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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