Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Other names
MED CENTER HEALTH SCHOOL BASED CLINICS
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
1545 BOWLING GREEN RD RM 803, SCOTTSVILLE, KY 42164-9647
(270) 618-3094
Mailing address
PO BOX 117914, ATLANTA, GA 30368-7914
(270) 586-5888
(270) 813-1173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100690710
—
KY
05
—
7100693200
—
KY
Enumeration date
01/15/2020
Last updated
06/06/2026
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