Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Other names
Med Center Health Orthopaedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE W LAWLESS (EXECUTIVE VICE PRESIDENT & CFO)
(270) 745-1500
Entity
Organization
Contact information
Practice address
825 2ND AVE, SUITE C2, BOWLING GREEN, KY 42101
(270) 780-2750
(270) 780-2755
Mailing address
PO BOX 117914, ATLANTA, GA 30368-7914
(270) 780-2750
(270) 780-2755
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
KY
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931776
—
KY
05
—
7100393930
—
KY
Enumeration date
12/05/2014
Last updated
06/06/2026
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