Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Other names
MED CENTER HEALTH ENT
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LAWLESS (EXECUTIVE VICE PRESIDENT & CFO)
(270) 745-1500
Entity
Organization
Contact information
Practice address
1100 BROOKHAVEN RD, FRANKLIN, KY 42134-2746
(270) 253-3147
(270) 253-3156
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 253-3147
(270) 253-3156
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100476740
—
KY
05
—
7100476770
—
KY
05
—
7100480360
—
KY
Enumeration date
08/01/2017
Last updated
08/13/2024
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