Organization
BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL
Active
Other names
MEDEQUIP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE SMITH (CHIEF OPERATING OFFICER)
(270) 745-1254
Entity
Organization
Contact information
Practice address
466 BURNLEY RD, SCOTTSVILLE, KY 42164-6355
(270) 622-3366
(270) 622-3368
Mailing address
P.O. BOX 641476, CINCINNATI, OH 45264-0001
(270) 796-2583
(270) 796-5190
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100404
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388797
BLUE CROSS BLUE SHIELD
KY
05
—
90013319
—
KY
Enumeration date
05/30/2006
Last updated
12/07/2007
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