Organization
BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER, INC.
Active
Other names
Fairview Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY WHITTINGHILL (COO)
(270) 783-3573
Entity
Organization
Contact information
Practice address
225 NATCHEZ TRACE AVENUE, BOWLING GREEN, KY 42103-7995
(270) 783-3573
(270) 783-4081
Mailing address
PO BOX 1177, BOWLING GREEN, KY 42102-1177
(270) 783-3573
(270) 783-4081
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700042
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000680
—
KY
Enumeration date
03/29/2007
Last updated
05/12/2022
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